PUBLIX NORTH CAROLINA LP (NPI# 1972011468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972011468 |
Entity Type | Organization |
Organization Name | PUBLIX NORTH CAROLINA LP |
Other Organization Name | PUBLIX PHARMACY #1518 |
Practice Address |
4425 Randolph Rd Charlotte NC 28211-2351 |
Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
Practice Telephone | 7049722119 |
Practice Fax Number | 9802724181 |
Mailing Telephone | 8636881188 |
Enumeration Date | 2018-01-18 |
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 | 13720 | NC | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2176261 | 01 |
Other Name | Type Code |
---|---|
Publix Pharmacy #1518 | Doing Business As Name - 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 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Publix North Carolina LP | 15720 Brixham Hill Avenue #300, Charlotte, NC 28277 |
Street Address |
4425 RANDOLPH RD |
City | CHARLOTTE |
State | NC |
Zip Code | 28211-2351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629020003 | Deborah Hall Proffitt | Psychologist | 4425 Randolph Rd, Suite 206, Charlotte, NC 28211-2348 | 2006-05-16 |
1316425283 | Kelsey Horton | Pharmacist | 4425 Randolph Rd, Charlotte, NC 28211-2351 | 2018-08-02 |
1629474226 | Graham A. Hunter, Phd | Psychologist | 4425 Randolph Rd, Suite 411, Charlotte, NC 28211-2351 | 2014-11-08 |
1851700868 | Michelle Pfleeger Brown | Psychologist | 4425 Randolph Rd, Suite 411, Charlotte, NC 28211-2351 | 2014-08-05 |
1619385861 | Mills Counseling, Inc In Care of Ashley C Mills | Social Worker | 4425 Randolph Rd, Suite 217, Charlotte, NC 28211-2351 | 2014-07-31 |
1508127127 | Ann Smolin, Ph.d., Pllc | Psychologist | 4425 Randolph Rd, Suite 411, Charlotte, NC 28211-2351 | 2012-05-30 |
1164708228 | Shannon Kersey, Lpa | Psychologist | 4425 Randolph Rd, Suite 208, Charlotte, NC 28211-2351 | 2011-11-02 |
1881995850 | Mills Counseling, Pllc | Social Worker | 4425 Randolph Rd, Suite 305, Charlotte, NC 28211-2351 | 2010-11-08 |
1568782654 | Ashley Caroline Mills | Social Worker | 4425 Randolph Rd, Suite 217, Charlotte, NC 28211-2351 | 2010-06-11 |
1720318975 | Matthew Alan Lucas | Chiropractor | 4425 Randolph Rd, Suite 110, Charlotte, NC 28211-2351 | 2010-01-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
Find all providers in zip 28211 |
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 |
---|---|---|---|---|
1245847599 | Western Brothers LLC | Pharmacy | 1943 E 7th St, Charlotte, NC 28204-2417 | 2020-09-29 |
1770121998 | Capsule Charlotte LLC | Pharmacy | 2041 South Blvd Ste 103, Charlotte, NC 28203-5775 | 2019-12-18 |
1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
1720576085 | D&d Pharmacy LLC | Pharmacy | 2903 Central Ave Ste A, Charlotte, NC 28205-6073 | 2018-04-23 |
1609302173 | Charlotte Family Pharmacy | Pharmacy | 7008 E Wt Harris Blvd Ste 4, Charlotte, NC 28215-4298 | 2017-05-03 |
1316483472 | Health Saver Rx, LLC | Pharmacy | 3809 Beam Road Suite H, Suite H, Charlotte, NC 28217 | 2017-01-13 |
1396195913 | Rxcp2 | Pharmacy | 6010 E W T Harris Blvd, Charlotte, NC 28215-4084 | 2016-06-14 |
1396146452 | Genoa Healthcare, LLC | Pharmacy | 5700 Executive Center Dr Ste 216, Charlotte, NC 28212-8833 | 2014-09-09 |
1245630706 | Walgreens Co. | Pharmacy | 2720 South Blvd, Apt 122, Charlotte, NC 28209-0004 | 2014-09-02 |
Find all providers in CHARLOTTE |
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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.