Harris Teeter LLC
NPI 1619497583 · Community/Retail Pharmacy · Fernandina Beach, FL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Harris Teeter LLC is a Community/Retail Pharmacy organization in Fernandina Beach, FL (NPI 1619497583).
Provider details
- NPI number
- 1619497583
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Allison Bredestege, Pharmacy Licensing Manager(513) 762-1019
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
896 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 494 | $12 |
| Admn Sarscov2 Vacc 1 Dose90480 | 360 | $28 |
| Administration of Pneumococcal VaccineG0009 | 42 | $18 |
Typical Medicare-allowed amounts for these services range $12–$28 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Harris Teeter #34
- Doing business as
- Harris Teeter #34
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2018-01-09
Frequently asked questions
- What is Harris Teeter LLC's NPI number?
- Harris Teeter LLC's National Provider Identifier (NPI) is 1619497583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Harris Teeter LLC?
- Harris Teeter LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Harris Teeter LLC located?
- Harris Teeter LLC's practice location on file with NPPES is 4800 First Coast Hwy, Fernandina Beach, FL 32034-5597.
- What is Harris Teeter LLC's phone number?
- The practice phone number listed in the NPPES registry for Harris Teeter LLC is (704) 844-4147.
- Does Harris Teeter LLC accept Medicare?
- Harris Teeter LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Harris Teeter LLC?
- The authorized official listed on Harris Teeter LLC's NPPES record is Allison Bredestege, Pharmacy Licensing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Harris Teeter LLC's NPI active?
- Yes — Harris Teeter LLC's NPI (1619497583) is active in the NPPES registry as of the last update on 2018-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.