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HARRIS TEETER LLC
NPI 1780072975
Pharmacy - Community/Retail Pharmacy in Raleigh, NC

Active since December 23, 2014CLIA 34D2105950 · Waiver
2051 W. MILLBROOK ROAD, RALEIGH, NC 27612(919) 787-1612 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Harris Teeter Llc NPPES

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

HARRIS TEETER LLC (NPI 1780072975) is a healthcare organization registered as a community/retail pharmacy in Raleigh, North Carolina and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Mary Noblitt, License Administrator, as its authorized official.

NPPES Registry Identity

NPI1780072975
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameHARRIS TEETER LLC
Location Address2051 W. MILLBROOK ROADRaleigh, NC 27612
Mailing Address701 Crestdale RdMatthews, NC 28105-1700
Phone(919) 787-1612
Organization SubpartNo
Authorized OfficialMary NoblittLicense Administrator · (704) 844-3418
Enumeration DateDecember 23, 2014
✔ NPI 1780072975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
2051 W. MILLBROOK ROAD, Raleigh, NC 27612
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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 34D2105950

Harris Teeter #319 · Raleigh, NC
Active · expires Dec 7, 2027
CLIA Number34D2105950
Laboratory TypeRetail Pharmacy
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorLindsay Capozziello
Laboratory Phone(919) 787-1612
Laboratory LocationHarris Teeter #3192051 West Millbrook Road, Raleigh, NC 27612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Harris Teeter Pharmacy #69 carries, from the Medicare DMEPOS supplier directory.

Harris Teeter Pharmacy #69

DMEPOS supplier · Raleigh, NCOperated by Harris Teeter LLC
✔

Accepts Medicare assignment

Harris Teeter Pharmacy #69 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)20530367
Medicare Participant SinceMarch 22, 2011
Supplier Location3201 Edwards Mill Rd Ste 123Raleigh, NC 27612
Phone(919) 781-2314
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.

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 1780072975. It was assigned to this organization in the NPPES registry on December 23, 2014.

Where is Harris Teeter LLC located?

Harris Teeter LLC is located at 2051 W. Millbrook Road, Raleigh, NC 27612. The listed phone number is (919) 787-1612.

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 #69 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 34D2105950) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harris Teeter LLC was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.