HARRIS TEETER LLC NPI 1679806517

NPI Details

HARRIS TEETER, LLC is a community/retail pharmacy pharmacy in Fulton, MD. 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 TEETER, LLC NPI is 1679806517. The provider is registered as an organization entity type.
The provider Other Name Is Harris Teeter Pharmacy.

The provider's business location address is:

8184 WESTSIDE BLVD
FULTON, MD
ZIP 20759-587
Phone: (301) 362-5761
Fax: (301) 362-5273

The provider's authorized official is Rose W Ward .
The authorized official title is Manager, Pharmacy Accountig and has the following contact phone number (704) 844-6524.

The CLIA number assigned to this NPI record is 21D2155502 - other - pharmacist 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.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 9/10/2009 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:

Other Identifiers

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