Active NPI
Harris Teeter, LLC
- Community/Retail Pharmacy
- Arlington, VA
National Provider Identifier
1346353018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0201003795
- Legal business name
- HARRIS TEETER, LLC
- Practice address
- 2425 N. Harrison St
Arlington, VA 22207 - Phone
- (703) 532-8755
- Fax
- (704) 844-6556
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose Ward
- Title
- Manager, Pharmacy Admin/Ar
- Phone
- (704) 844-6524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 0201003795 | VA | Primary |
Addresses
Primary practice location
2425 N. Harrison St
Arlington, VA 22207
Mailing address
701 Crestdale Rd
Matthews, NC 28105-1700
Phone (704) 844-3100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4836978 | Other | NABP | |
| 8519242 | Medicaid | VA |
Other names 1
- Harris Teeter Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057901 | VA | DME Supplier - Pharmacy | 9234255217 | Practice locations: Arlington, VA |
| O20101104000770 | DC | Part B Supplier - Pharmacy | 9234255217 |
18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Germantown, MD; Washington, DC; Potomac, MD; Olney, MD; Bowie, MD; Bethesda, MD |
| O20101229000190 | VA | Part B Supplier - Pharmacy | 9234255217 |
40 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portsmouth, VA; Purcellville, VA; Sterling, VA; Chesapeake, VA; Suffolk, VA; Virginia Beach, VA; Warrenton, VA; Williamsburg, VA… |
| O20140529001652 | DC | Part B Supplier - Mass Immunization (Roster Biller Only) | 9234255217 |
20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fairfax, VA; Arlington, VA; Falls Church, VA; Gaithersburg, MD; Herndon, VA; Laurel, MD; MC Lean, VA; Reston, VA… |
Other NPIs on the same Medicare enrollment 57
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Retail Pharmacy
- Arlington, VA
- NPI 1194922930
O20101104000770, O20101229000190, O20140529001652
-
- Community/Retail Pharmacy
- Arlington, VA
- NPI 1285736397
O20101104000770, O20101229000190, O20140529001652
-
- Community/Retail Pharmacy
- Vienna, VA
- NPI 1548620214
O20101229000190, O20140529001652
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2156386 | Harris Teeter Pharmacy #97-0023 | Certificate of waiver | Oct 16, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Harris Teeter Pharmacy #23 | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Suppli… | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1346353018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 CRESTDALE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051700",
"telephone_number": "704-844-3100",
"fax_number": "704-844-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 N. HARRISON ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22207",
"telephone_number": "703-532-8755",
"fax_number": "704-844-6556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRIS TEETER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "ROSE",
"authorized_official_title_or_position": "MANAGER, PHARMACY ADMIN/AR",
"authorized_official_telephone_number": "704-844-6524"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "VA",
"license": "0201003795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "4836978",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8519242",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harris Teeter Pharmacy",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.