PUBLIX NORTH CAROLINA LP (NPI# 1316470974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316470974 |
| Entity Type | Organization |
| Organization Name | PUBLIX NORTH CAROLINA LP |
| Other Organization Name | PUBLIX PHARMACY #1594 |
| Practice Address |
3007 Boulevard Colonial Heights VA 23834-2445 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 8044512072 |
| Practice Fax Number | 8048356993 |
| Mailing Telephone | 8636881188 |
| Enumeration Date | 2017-04-10 |
| 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 | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1316470974 | 05 | |
| PK | 2171030 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1594 | 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 |
| 1417478322 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 3114 Raeford Rd, Fayetteville, NC 28303-5378 | 2017-06-30 |
| 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 |
3007 BOULEVARD |
| City | COLONIAL HEIGHTS |
| State | VA |
| Zip Code | 23834-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362378 | Kayla Oyler | Pharmacist | 3007 Boulevard, Colonial Heights, VA 23834-2445 | 2020-10-05 |
| 1588213367 | Tabitha Nicole Robinson | Pharmacist | 3007 Boulevard, Colonial Heights, VA 23834-2445 | 2019-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323040 | Latoya Harris | Social Worker | 3220 Loganwood Dr, South Chesterfield, VA 23834 | 2020-07-15 |
| 1619598653 | Jasmine Cutler | Nurse Practitioner | 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 | 2020-04-30 |
| 1942841275 | Stephanie Benedict | Technician | 330 King Fisher Way, Col. Heights, VA 23834 | 2019-10-08 |
| 1134628852 | Stacie J Lewis | Hearing Instrument Specialist | 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2018-02-08 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1639681349 | Nicholas C Vickers | Hearing Instrument Specialist | 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 | 2017-11-03 |
| 1962935015 | Selfless Service LLC | In Home Supportive Care | 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 | 2017-04-05 |
| 1134594864 | Dominion Aba | Early Intervention Provider Agency | 2903 Bouleavard, Colonial Heights, VA 23834 | 2015-12-07 |
| 1558743039 | Dream Care of Va LLC | Durable Medical Equipment & Medical Supplies | 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 | 2015-06-22 |
| 1811311343 | Colonial Orthopaedics Inc | Orthopaedic Surgery | 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 | 2014-02-04 |
| Find all providers in zip 23834 | ||||
| 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 |
|---|---|---|---|---|
| 1043789449 | Temple Ave Pharmacy | Pharmacy | 2000 Snead Ave, Colonial Heights, VA 23834-2428 | 2018-11-15 |
| 1780824425 | Sam's East Inc | Pharmacy | 735 Southpark Blvd, Colonial Heights, VA 23834-3605 | 2009-02-20 |
| 1699876474 | Eckerd Corporation | Pharmacy | 3107 Colonial Square, Colonial Heights, VA 23834 | 2006-09-26 |
| 1831104884 | Walgreen Co | Pharmacy | 3201 Boulevard, Colonial Heights, VA 23834-1455 | 2006-07-29 |
| 1700808482 | Virginia Cvs Pharmacy LLC | Pharmacy | 721 Southpark Blvd, Colonial Heights, VA 23834-3606 | 2006-07-24 |
| 1396763751 | Pharmacy Plus Inc. | Pharmacy | 2029 Boulevard, Colonial Heights, VA 23834-2309 | 2006-07-17 |
| 1538636089 | Colonial Heights Pharmacy Inc | Pharmacy | 16021 Kairos Road, Ste B1, Colonial Heights, VA 23834 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
| City | COLONIAL HEIGHTS |
| Zip Code | 23834 |
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.