Harris Teeter LLC
Harris Teeter LLC is a healthcare organization registered as Community/Retail Pharmacy in Indian Trail, NC, holding Type 2 (organization) NPI 1659475085 since 2006. The authorized official on file is Jessica Warman, Manager Rx Licensing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659475085 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Harris Teeter LLC |
| Other name | <Unavail> |
| Practice address | 6610 OLD MONROE RD., Indian Trail, NC, 28079 |
| Phone | 7042891193 |
| Fax | 7048446556 |
| Enumeration date | 2006-09-07 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Jessica Warman |
|---|---|
| Title | Manager Rx Licensing |
| Phone | 5137621019 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 09041 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0905555 | Medicaid | NC | — |
| 3403540 | Other | — | NABP |
| 7704395 | Other | — | MEDICAID DME |
Copy-ready billing details
Provider: Harris Teeter LLC NPI: 1659475085 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 6610 OLD MONROE RD., Indian Trail, NC, 28079
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689966277 | Jonathan Ducar | Individual | Pharmacist | Indian Trail, NC |
| 1093007601 | Kevin Pultorak | Individual | Pharmacist | Indian Trail, NC |
| 1285010777 | Andrew Helms | Individual | Pharmacist | Indian Trail, NC |
Verify this record
Cross-check NPI 1659475085 against the authoritative CMS record: view Harris Teeter LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Harris Teeter LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.