Organization · Type 2 NPI

Publix North Carolina LP

Community/Retail Pharmacy · Mooresville, NC

NPI number 1366890964 Active

Practice location

631 Brawley School Rd
Mooresville, NC 28117-6204

Call (704) 660-6807 Map

Fax (704) 360-5908

Mailing address

PO Box 639680
Cincinnati, OH 45263-9680

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	13014 (NC)
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 …

8 other providers at this address

Other community/retail pharmacy providers in Mooresville

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NPI record

NPI: 1366890964
Entity type: Organization (Type 2)
Issued: May 25, 2016
Last updated: Jul 1, 2026
Status: Active

Other names

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Publix Pharmacy #1519 · doing business as
Publix Pharmacy #1519 · doing business as

Authorized official

Catherine E Scanlon
VP of Pharmacy
(863) 688-1188

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366890964

Publix North Carolina LP's National Provider Identifier is 1366890964, issued on May 25, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mooresville, NC. The record was last updated on Jul 1, 2026.