HARRIS TEETER, LLC
NPI 1700980117
Pharmacy - Community/Retail Pharmacy in Matthews, NC

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

Active since September 08, 2006CLIA 34D2101000 · Waiver

1811 MATTHEWS TOWNSHIP PKWY, MATTHEWS, NC 28105(704) 844-6822(704) 846-2139 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, Mar 20, 2018 (2 updates tracked since 2018).

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About Harris Teeter, Llc NPPES

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

HARRIS TEETER, LLC (NPI 1700980117) is a healthcare organization registered as a community/retail pharmacy in Matthews, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Allison Bredestege, Manager Pharmacy Licesning, as its authorized official.

NPPES Registry Identity

NPI1700980117

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHARRIS TEETER, LLC

Location Address1811 MATTHEWS TOWNSHIP PKWYMatthews, NC 28105-4659

Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019

Phone(704) 844-6822

Fax(704) 846-2139

Organization SubpartNo

Authorized OfficialAllison BredestegeManager Pharmacy Licesning · (513) 762-1019

Enumeration DateSeptember 8, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1700980117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NC · 06110

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 6110 (NC)

1811 MATTHEWS TOWNSHIP PKWY, Matthews, NC 28105

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Other Identifiers 3

Other3432325Nabp

Medicaid0608158NC

Other7703108Medicaid Dme

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 34D2101000

Harris Teeter #157 · Matthews, NC

Active · expires Aug 25, 2027

CLIA Number34D2101000

Laboratory TypeRetail Pharmacy

Certificate Effective DateAugust 26, 2025

Certificate Expiration DateAugust 25, 2027

Laboratory DirectorLindsay Capozziello

Laboratory Phone(704) 844-6822

Laboratory LocationHarris Teeter #157Harris Teeter Pharamcy Attn Pharmacist In Charge 1811 Matthews Township Pkwy, Matthews, NC 28105

CLIA data matches this NPI record on: 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 2024 & 2026 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.

246 services243 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.

232 services229 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.

18 services18 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.

18 services18 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.

17 services17 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20530451
Accepts Medicare Assignment: YES
Specialities List: Pharmacy.
Competitive Bidding: NO

Supplies List

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
Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
Urological Supplies - Catheters, Urinary collection devices
Enteral Nutrients - Enteral formula
Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

Other Providers at the Same Location NPPES 7

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

JOAN MCDONALD FNP-C

Nurse Practitioner (Family)