HARRIS TEETERLLC NPI 1083877591

NPI Information

NPI: 1083877591
Provider Name: HARRIS TEETERLLC
Classification: Pharmacy - 3336C0003X
Specialization: Community/Retail Pharmacy
Entity Type: Organization
Other Name: HARRIS TEETER PHARMACY
CLIA Number: 34D2101529
Address: 1125 WEST NC 54 HWY
DURHAM, NC
ZIP 27707
Phone: (919) 403-8053

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NPI Details

HARRIS TEETERLLC is a community/retail pharmacy pharmacy in Durham, NC. The provider is 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. HARRIS TEETERLLC NPI is 1083877591. The provider is registered as an organization entity type.
The provider Other Name Is Harris Teeter Pharmacy.

The provider's business location address is:

1125 WEST NC 54 HWY
DURHAM, NC
ZIP 27707
Phone: (919) 403-8053
Fax: (704) 844-6556

The provider's authorized official is Allison Bredestege .
The authorized official title is Pharmacy Licensing Manager and has the following contact phone number (513) 762-1019.

The CLIA number assigned to this NPI record is 34D2101529 - other - retial pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Influenza vaccine split virus, preservative free (HCPCS:90662)
Administration of influenza virus vaccine (HCPCS:G0008)
Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
Fee covid-19 vac 14 res (HCPCS:0134A)

The enumeration date for this NPI number is 7/3/2008 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		10118	NORTH CAROLINA	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	10118	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0326728	MEDICAID	NORTH CAROLINA
2	7704957	OTHER		MEDICAID DME
3	3411422	OTHER		NABP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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