HARRIS TEETER PHARMACY
NPI 1710158126
Pharmacy - Community/Retail Pharmacy in Mooresville, NC

Q: What is Harris Teeter LLC's NPI number?

The NPI number for Harris Teeter LLC is 1710158126. It was assigned to this organization in the NPPES registry on March 13, 2008. The provider is also known as Harris Teeter Pharmacy.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Harris Teeter LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2008CLIA 34D2100742 · Waiver

134 TOWN CENTER DR, SUITE H, MOORESVILLE, NC 28117(704) 799-1066(704) 844-6556 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Oct 30, 2018 (2 updates tracked since 2018).

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About Harris Teeter Pharmacy NPPES

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

HARRIS TEETER PHARMACY (NPI 1710158126) is a healthcare organization registered as a community/retail pharmacy in Mooresville, North Carolina and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Jessie Warman, Manager Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1710158126

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameHARRIS TEETER LLC

Location Address134 TOWN CENTER DR, SUITE HMooresville, NC 28117-9158

Mailing Address1014 Vine StCincinnati, OH 45202-1141 · (513) 762-1019

Phone(704) 799-1066

Fax(704) 844-6556

Organization SubpartNo

Authorized OfficialJessie WarmanManager Pharmacy Licensing · (513) 762-1019

Enumeration DateMarch 13, 2008

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

✔ NPI 1710158126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in NC · 10059

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.

134 TOWN CENTER DR, Mooresville, NC 28117

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Other Names 1

Other NameHarris Teeter Pharmacy

Other Identifiers 3

Medicaid0497678NC

Other7704929Medicaid Dme

Other3410711Nabp

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 34D2100742

Harris Teeter #099 Pharmacy Attn Pharmacist In Charge · Mooresville, NC

Active · expires Aug 20, 2027

CLIA Number34D2100742

Laboratory TypeRetail Pharmacy

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorLindsay Capozziello

Laboratory Phone(704) 799-1101

Laboratory LocationHarris Teeter #099 Pharmacy Attn Pharmacist In Charge134-H Town Center Dr, Mooresville, NC 28117

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

237 services235 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.

235 services233 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.

24 services24 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.

24 services24 patients

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Harris Teeter Pharmacy #99 carries, from the Medicare DMEPOS supplier directory.

Harris Teeter Pharmacy #99

DMEPOS supplier · Mooresville, NCOperated by Harris Teeter LLC

✔

Accepts Medicare assignment

Harris Teeter Pharmacy #99 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)20530289

Medicare Participant SinceMarch 22, 2011

Supplier Location134 Town Center Dr Ste HMooresville, NC 28117

Phone(704) 799-1101

Supplier Specialties

Pharmacy Grocery Store

Medicare Product Categories

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

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

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

MS. JODI LYNN GREENBERG RPH

Pharmacist

134 TOWN CENTER DR
MOORESVILLE, NC 28117

Iredell County (704) 799-1101

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 1710158126. It was assigned to this organization in the NPPES registry on March 13, 2008. The provider is also known as Harris Teeter Pharmacy.

Where is Harris Teeter LLC located?

Harris Teeter LLC is located at 134 Town Center Dr Suite H, Mooresville, NC 28117. The listed phone number is (704) 799-1066.

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 #99 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 34D2100742) is associated with this NPI, valid through August 20, 2027. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.