Harris Teeter, LLC
Harris Teeter, LLC is a healthcare organization registered as Community/Retail Pharmacy in Matthews, NC, holding Type 2 (organization) NPI 1700980117 since 2006. The authorized official on file is Allison Bredestege, Manager Pharmacy Licesning.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700980117 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Harris Teeter, LLC |
| Practice address | 1811 MATTHEWS TOWNSHIP PKWY, Matthews, NC, 28105 |
| Phone | 7048446822 |
| Fax | 7048462139 |
| Enumeration date | 2006-09-08 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Allison Bredestege |
|---|---|
| Title | Manager Pharmacy Licesning |
| Phone | 5137621019 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | 6110 | NC |
| 3336C0003X | Community/Retail Pharmacy | Primary | 06110 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3432325 | Other | — | NABP |
| 0608158 | Medicaid | NC | — |
| 7703108 | Other | — | MEDICAID DME |
Copy-ready billing details
Provider: Harris Teeter, LLC NPI: 1700980117 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1811 MATTHEWS TOWNSHIP PKWY, Matthews, NC, 28105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598723926 | Joan Mcdonald | Individual | Family Nurse Practitioner | Matthews, NC |
| 1447448345 | Carolinas Physicians Network Inc. | Organization | Health Service Clinic/Center | Matthews, NC |
| 1528350741 | Donna Tavakkoli | Individual | Pharmacist | Matthews, NC |
| 1386936409 | Paige Nivens | Individual | Pharmacist | Matthews, NC |
| 1164808697 | Crystal Yu | Individual | Pharmacist | Matthews, NC |
| 1235515479 | Justin Crump | Individual | Pharmacist | Matthews, NC |
| 1538043633 | Leah Blount | Individual | Pharmacy Technician | Matthews, NC |
Verify this record
Cross-check NPI 1700980117 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
Who is the authorized official for Harris Teeter, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-03-07.