| NPI | 1215482419 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2016-08-18 |
| Last Updated | 2020-01-03 |
| Authorized Official | Dain Rusk VP Pharmacy Phone: 8636881188 |
| Mailing Address | Po Box 639680 Cincinnati, OH 45263-9680 United States Phone: (863) 688-1188 | Fax: (863) 616-5846 📍 View Map |
| Primary Practice Address | 1030 Forestville Rd Wake Forest, NC 27587-9361 United States Phone: (919) 556-7124 | Fax: (919) 263-3846 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2163686 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | NC | 13034 |
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About NPI 1215482419
Publix North Carolina Lp is an organization registered in the CMS NPPES NPI Registry with NPI number 1215482419. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Wake Forest, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-08-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215482419?
NPI 1215482419 belongs to Publix North Carolina Lp, a Pharmacy, Community/Retail Pharmacy in Wake Forest, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215482419 active?
The current status of NPI 1215482419 in the NPPES registry is Active. The record was last updated on 2020-01-03.
What specialty is NPI 1215482419?
NPI 1215482419 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215482419?
You can verify NPI 1215482419 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215482419?
The primary practice address on file for NPI 1215482419 is 1030 Forestville Rd, Wake Forest, NC 27587-9361. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215482419 issued?
NPI 1215482419 was first issued (enumerated) on 2016-08-18. The NPPES record was last updated on 2020-01-03.
Practice Location Map
Publix North Carolina Lp is located at 1030 Forestville Rd, Wake Forest, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Publix North Carolina Lp. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1215482419. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 13034 | NC |