HARRIS TEETER LLC NPI 1942400171

NPI Details

HARRIS TEETER, LLC is a community/retail pharmacy pharmacy in Mooresville, 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 TEETER, LLC NPI is 1942400171. The provider is registered as an organization entity type.
The provider Other Name Is Harris Teeter Pharmacy.

The provider's business location address is:

118 ARGUS LANE
MOORESVILLE, NC
ZIP 28117
Phone: (704) 799-2267
Fax: (704) 844-6556

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

The CLIA number assigned to this NPI record is 34D2101047 - other - retail 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.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Adm sarscv2 30mcg trs-sucr 1 (HCPCS:0051A)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 7/25/2007 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.