PUBLIX NORTH CAROLINA LP


Address: 4425 Randolph Rd, Charlotte, NC 28211-2351
Phone: 7049722119

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PK 2176261 01

Other Provider/Organization Names

Other Name Type Code
Publix Pharmacy #1518 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations Publix North Carolina LP 15720 Brixham Hill Avenue #300, Charlotte, NC 28277

Office Location

Street Address 4425 RANDOLPH RD
City CHARLOTTE
State NC
Zip Code 28211-2351

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City CHARLOTTE
Zip Code 28211

Improve Information

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Dataset Information

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.

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