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PUBLIX NORTH CAROLINA LP NPI 1780080911


NPI Information

NPI: 1780080911
Provider Name: PUBLIX NORTH CAROLINA LP

Doing Business As: PUBLIX PHARMACY #1470

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 34D2098627

Address:
6828 MATTHEWS MINT HILL RD
MINT HILL, NC
ZIP 28227
Phone: (704) 573-0239
Get Directions

PUBLIX NORTH CAROLINA LP is a community/retail pharmacy pharmacy in Mint Hill, NC. The provider is 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. PUBLIX NORTH CAROLINA LP NPI is 1780080911. The provider is registered as an organization entity type.
The provider Is Doing Business As Publix Pharmacy #1470.

The provider's business location address is:

6828 MATTHEWS MINT HILL RD
MINT HILL, NC
ZIP 28227-324
Phone: (704) 573-0239
Fax: (980) 201-8650

The provider's authorized official is Dain Rusk .
The authorized official title is Vp Pharmacy and has the following contact phone number (863) 688-1188.

The CLIA number assigned to this NPI record is 34D2098627 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 1/3/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy12132NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11780080911MEDICAIDNORTH CAROLINA
22148886OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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