SYNCHRONY NORTH CAROLINA RX, LLC
NPI 1255030110
Pharmacy - Long Term Care Pharmacy in Charlotte, NC

Q: What is Synchrony North Carolina Rx, LLC's NPI number?

The NPI number for Synchrony North Carolina Rx, LLC is 1255030110. It was assigned to this organization in the NPPES registry on March 1, 2023. The provider is doing business as Synchrony Charlotte Pharmacy.

Q: What is Synchrony North Carolina Rx, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since March 01, 2023

9009 PERIMETER WOODS DR STE K, CHARLOTTE, NC 28216(866) 752-9509 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 4, 2025, Feb 14, 2025, Jul 7, 2023 and 1 more (4 updates tracked since 2023).

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About Synchrony North Carolina Rx, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYNCHRONY NORTH CAROLINA RX, LLC (NPI 1255030110), doing business as Synchrony Charlotte Pharmacy, is a healthcare organization registered as a long term care pharmacy in Charlotte, North Carolina and active in the NPI registry since March 2023. The organization lists Trent Blacketer, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1255030110

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameSYNCHRONY NORTH CAROLINA RX, LLC

Location Address9009 PERIMETER WOODS DR STE KCharlotte, NC 28216-0040

Mailing Address9009 Perimeter Woods Dr Ste KCharlotte, NC 28216-0040

Phone(866) 752-9509

Organization SubpartNo

Authorized OfficialTrent BlacketerVp Operations · (502) 608-9183

Enumeration DateMarch 1, 2023

Last NPPES UpdateJune 17, 20264 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1255030110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacyTaxonomy 333600000X

9009 PERIMETER WOODS DR STE K, Charlotte, NC 28216

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Other Names 1

Doing Business AsSynchrony Charlotte Pharmacy

Other Identifiers 1

Other15124NC · State Board Of Pharmacy Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

1,852 services1,852 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

1,727 services1,727 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Synchrony North Carolina Rx LLC carries, from the Medicare DMEPOS supplier directory.

Synchrony North Carolina Rx LLC

DMEPOS supplier · Charlotte, NC

✔

Accepts Medicare assignment

Synchrony North Carolina Rx LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)21610785

Medicare Participant SinceMay 8, 2023

Supplier Location9009 Perimeter Woods Dr Ste KCharlotte, NC 28216

Phone(866) 752-9509

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARCY RUSSELL PHARMD

Pharmacist

9009 PERIMETER WOODS DR STE K
CHARLOTTE, NC 28216

Mecklenburg County (866) 752-9509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Synchrony North Carolina Rx, LLC's NPI number?

The NPI number for Synchrony North Carolina Rx, LLC is 1255030110. It was assigned to this organization in the NPPES registry on March 1, 2023. The provider is doing business as Synchrony Charlotte Pharmacy.

Where is Synchrony North Carolina Rx, LLC located?

Synchrony North Carolina Rx, LLC is located at 9009 Perimeter Woods Dr Ste K, Charlotte, NC 28216. The listed phone number is (866) 752-9509.

What is Synchrony North Carolina Rx, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Synchrony North Carolina Rx, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Synchrony North Carolina Rx LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Synchrony North Carolina Rx, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Synchrony North Carolina Rx, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Synchrony North Carolina Rx, LLC was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.