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HARRIS TEETER PHARMACY #325
NPI 1669555058
Pharmacy - Community/Retail Pharmacy in Germantown, MD

Active since October 23, 2006CLIA 21D2155491 · Waiver
14101 DARNESTOWN RD, GERMANTOWN, MD 20874(240) 631-9629(704) 844-6556 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Jun 16, 2018, Nov 28, 2017 (3 updates tracked since 2017).

About Harris Teeter Pharmacy #325 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARRIS TEETER PHARMACY #325 (NPI 1669555058) is a healthcare organization registered as a community/retail pharmacy in Germantown, Maryland and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Allison Bredestege, Pharmacy Licensing Manager, as its authorized official.

NPPES Registry Identity

NPI1669555058
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHARRIS TEETER LLC
Location Address14101 DARNESTOWN RDGermantown, MD 20874-3009
Mailing Address701 Crestdale RdMatthews, NC 28105-1700 · (704) 844-3100 · Fax (704) 844-6556
Phone(240) 631-9629
Fax(704) 844-6556
Organization SubpartNo
Authorized OfficialAllison BredestegePharmacy Licensing Manager · (513) 762-1019
Enumeration DateOctober 23, 2006
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1669555058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MD · P04486
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

14101 DARNESTOWN RD, Germantown, MD 20874
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Other Names 1

Doing Business AsHarris Teeter Pharmacy #325

Other Identifiers 2

Medicaid011457000MD
Other2133091MD · Nabp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2155491

Harris Teeter Pharmacy #97-0325 · Germantown, MD
Active · expires Sep 30, 2026
CLIA Number21D2155491
Laboratory TypePharmacy
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorKellen O. Riley
Laboratory Phone(240) 631-9629
Laboratory LocationHarris Teeter Pharmacy #97-032514101 Darnestown Road, Germantown, MD 20874
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
258 services255 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
242 services239 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
34 services34 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
34 services34 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
12 services11 patients

Medical Equipment Supplier Medicare DMEPOS 15

Medicare supplier enrollment and the product categories Harris Teeter Pharmacy #325 carries, from the Medicare DMEPOS supplier directory.

Harris Teeter Pharmacy #325

DMEPOS supplier · Germantown, MDOperated by Harris Teeter LLC
✔

Accepts Medicare assignment

Harris Teeter Pharmacy #325 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20530271
Medicare Participant SinceMarch 22, 2011
Supplier Location14101 Darnestown RdGermantown, MD 20874
Phone(240) 631-9629
Supplier Specialties
Pharmacy Grocery Store

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HONGLY THI LA PHARM.D
Pharmacist
14101 DARNESTOWN RD
GERMANTOWN, MD 20874
Montgomery County (240) 631-9629
DR. LYNN L STEIN PHARM D
Pharmacist
14101 DARNESTOWN RD
GERMANTOWN, MD 20874
Montgomery County (240) 631-9629
BRONESSA S FERNANDES PHARM D
Pharmacist
14101 DARNESTOWN RD
GERMANTOWN, MD 20874
Montgomery County (240) 631-9629
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
14101 DARNESTOWN RD
GERMANTOWN, MD 20874
Montgomery County (240) 631-9629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harris Teeter LLC's NPI number?

The NPI number for Harris Teeter LLC is 1669555058. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Harris Teeter LLC located?

Harris Teeter LLC is located at 14101 Darnestown Rd, Germantown, MD 20874. The listed phone number is (240) 631-9629.

What is Harris Teeter LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Harris Teeter LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Harris Teeter Pharmacy #325 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Harris Teeter LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2155491) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harris Teeter LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Harris Teeter LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harris Teeter LLC was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.