PUBLIX NORTH CAROLINA LP (NPI# 1417478322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417478322 |
| Entity Type | Organization |
| Organization Name | PUBLIX NORTH CAROLINA LP |
| Other Organization Name | PUBLIX PHARMACY #1575 |
| Practice Address |
3114 Raeford Rd Fayetteville NC 28303-5378 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 9103640133 |
| Practice Fax Number | 9106767295 |
| Mailing Telephone | 8636881188 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | DAIN RUSK (VP PHARMACY) |
| Authorized Official Telephone | 8636881188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | 13358 | NC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2171895 | 01 | |
| NC | 1417478322 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1575 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982109476 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 2765 Nc Highway 210 E, Hampstead, NC 28443-8951 | 2018-03-27 |
| 1154823615 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 9601 Jefferson Davis Hwy, Fredericksburg, VA 22407-9407 | 2018-03-01 |
| 1760994008 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 4055 Harris Square Dr, Harrisburg, NC 28075 | 2017-10-26 |
| 1861919748 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 7144 Market St, Wilmington, NC 28411-9730 | 2017-08-23 |
| 1457872137 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 3150 Gammon Ln, Clemmons, NC 27012-9052 | 2017-07-03 |
| 1346761020 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 5132 Old Charlotte Hwy, Monroe, NC 28110-7342 | 2017-07-03 |
| 1316470974 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 3007 Boulevard, Colonial Heights, VA 23834-2445 | 2017-04-10 |
| 1598207037 | Publix North Carolina Lp | Pharmacy | 1620 Blowing Rock Rd, Boone, NC 28607-6144 | 2016-11-15 |
| 1033661764 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 134 Venture Ln, Statesville, NC 28625-2740 | 2016-10-28 |
| 1326590050 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 165 Weaver Blvd, Weaverville, NC 28787-8345 | 2016-10-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Publix North Carolina LP | 15720 Brixham Hill Avenue #300, Charlotte, NC 28277 |
| Street Address |
3114 RAEFORD RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| 1003391491 | Platinum Pharmacy | Pharmacy | 935 Lanier Ave W Ste 1008, Fayetteville, GA 30214-7434 | 2018-10-01 |
| 1649635459 | Walmart Inc. | Pharmacy | 660 W Martin Luther King Blvd, Fayetteville, AR 72701-6443 | 2015-12-21 |
| 1003203878 | R & R Medical Inc | Pharmacy | 2127 N Center St, Suite 1, Fayetteville, AR 72701-9449 | 2015-04-20 |
| 1598171910 | Express Discount Pharmacy LLC | Pharmacy | 1905 Skibo Rd Ste 104, Fayetteville, NC 28314-0261 | 2014-07-07 |
| 1760803035 | Walgreen Co | Pharmacy | 4015 W Wedington Dr, Fayetteville, AR 72704-5733 | 2014-01-03 |
| 1740535715 | Harris Teeter, LLC | Pharmacy | 3050 Traemoor Village Dr, Fayetteville, NC 28306 | 2012-07-17 |
| 1093013591 | Nugen Pharmacy LLC | Pharmacy | 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1568 | 2011-03-08 |
| 1477880185 | Carlie Cs of Cliffdale LLC | Pharmacy | 690 S Reilly Rd, Fayetteville, NC 28314-5626 | 2009-11-17 |
| 1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on PUBLIX NORTH CAROLINA LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.