PUBLIX NORTH CAROLINA LP (NPI# 1457872137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457872137 |
| Entity Type | Organization |
| Organization Name | PUBLIX NORTH CAROLINA LP |
| Other Organization Name | PUBLIX PHARMACY #1574 |
| Practice Address |
3150 Gammon Ln Clemmons NC 27012-9052 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 3362939704 |
| Practice Fax Number | 3367934468 |
| Mailing Telephone | 8636881188 |
| Enumeration Date | 2017-07-03 |
| 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 | 13386 | NC | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1457872137 | 05 | |
| PK | 2171899 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1574 | 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 |
| 1346761020 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 5132 Old Charlotte Hwy, Monroe, NC 28110-7342 | 2017-07-03 |
| 1417478322 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 3114 Raeford Rd, Fayetteville, NC 28303-5378 | 2017-06-30 |
| 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 |
3150 GAMMON LN |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-9052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659920627 | Chelsea Lam | Pharmacist | 3150 Gammon Ln, Clemmons, NC 27012-9052 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| 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 |
|---|---|---|---|---|
| 1932202629 | North Carolina Cvs Pharmacy LLC | Pharmacy | 2770 Lewisville Clemmons Rd, Clemmons, NC 27012 | 2006-09-07 |
| 1003334228 | Walgreen Co | Pharmacy | 1485 River Ridge Dr, Clemmons, NC 27012-8355 | 2017-09-08 |
| 1689041105 | Kmart Pharmacy | Pharmacy | 2455 Lewisville Clemmons Rd, Clemmons, NC 27012-8709 | 2015-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747872 | Jordon Baker Acquisitions, Inc. | Pharmacy | 604 S Hwy 226, Bakersville, NC 28705 | 2020-10-16 |
| 1871100164 | Pittsboro Pharmacy | Pharmacy | 630 East St Ste 11, Pittsboro, NC 27312-9475 | 2020-09-30 |
| 1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
| 1881200897 | University of North Carolina Health Care System | Pharmacy | 100 Eastowne Dr Ste 1100, Chapel Hill, NC 27514-2286 | 2020-09-16 |
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1912516196 | Avs 2020 Inc | Pharmacy | 6118 Farrington Rd Ste H, Chapel Hill, NC 27517-8108 | 2020-07-23 |
| 1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1356977672 | Cape Fear Discount Drug - Hope Mills, LLC | Pharmacy | 3018 N Main St, Hope Mills, NC 28348-1722 | 2020-03-18 |
| 1639705957 | Cape Fear Discount Drug - Ramsey, LLC | Pharmacy | 4417 Ramsey St, Fayetteville, NC 28311-2134 | 2020-03-18 |
| Find all providers with the same taxonomy | ||||
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.