Publix North Carolina Lp
Community/Retail Pharmacy
12810 S Tryon St, Charlotte
North Carolina, 28273-6949
704-587-0513 704-900-0625
Publix North Carolina Lp is a Community/Retail Pharmacy in Charlotte, North Carolina. It is located at 12810 S Tryon St, Charlotte and it's customer support contact number is 704-587-0513. The authorized person of Publix North Carolina Lp is Dain Rusk who is Vp Pharmacy of the pharmacy and his contact number is 863-688-1188. Active license number of Publix North Carolina Lp is 12058 for Community/Retail Pharmacy in North Carolina. Publix North Carolina Lp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Publix North Carolina Lp 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.
Pharmacy Details:
Publix North Carolina Lp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Publix North Carolina Lp |
| Type: | Community/Retail Pharmacy |
| Location: | 12810 S Tryon St, Charlotte,
North Carolina, 28273-6949 |
| Phone: | 704-587-0513 |
| Fax: | 704-900-0625 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dain Rusk |
| Position: | Vp Pharmacy |
| Contact Number: | 863-688-1188 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1801296983 |
| NPI Enumeration Date: | 26 Aug, 2014 |
| NPI Last Update On: | 03 Jan, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Publix North Carolina Lp are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 12058 | North Carolina | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2147818 | Other | | Pk |
| 1801296983 | Medicaid | North Carolina | |
| 7N2058 | Medicaid | South Carolina | |
| DE3815 | Medicaid | South Carolina | |
Medicare Enrollment:
Publix North Carolina Lp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 8123241858 | O20141117000897 | Publix North Carolina, Lp | DME SUPPLIER - PHARMACY |
Products Available:
Publix North Carolina Lp has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 639680,
Cincinnati, Ohio |
| Zip: | 45263-9680 |
| Phone Number: | 863-688-1188 |
| Fax Number: | 863-616-5846 |
Patients can reach Publix North Carolina Lp at
12810 S Tryon St, Charlotte, North Carolina or can
call on customer care at 704-587-0513.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.