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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PUBLIX NORTH CAROLINA LP
NPI 1366890964
Pharmacy - Community/Retail Pharmacy in Mooresville, NC

Active since May 25, 2016CLIA 34D2118213 · Waiver
631 BRAWLEY SCHOOL RD, MOORESVILLE, NC 28117(704) 660-6807(704) 360-5908 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2020, Nov 14, 2019 (2 updates tracked since 2019).

About Publix North Carolina Lp NPPES

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

PUBLIX NORTH CAROLINA LP (NPI 1366890964), doing business as Publix Pharmacy #1519, is a healthcare organization registered as a community/retail pharmacy in Mooresville, North Carolina and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Catherine E Scanlon, Vp Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1366890964
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePUBLIX NORTH CAROLINA LP
Location Address631 BRAWLEY SCHOOL RDMooresville, NC 28117-6204
Mailing AddressPo Box 639680Cincinnati, OH 45263-9680 · (863) 688-1188
Phone(704) 660-6807
Fax(704) 360-5908
Organization SubpartNo
Authorized OfficialCatherine E ScanlonVp Of Pharmacy · (863) 688-1188
Enumeration DateMay 25, 2016
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1366890964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X · License 13014 (NC)
631 BRAWLEY SCHOOL RD, Mooresville, NC 28117
Open in Google Maps ↗

Other Names 1

Doing Business AsPublix Pharmacy #1519

Other Identifiers 1

Other2160321Pk

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2118213

Publix Pharmacy #1519 · Mooresville, NC
Active · expires Aug 31, 2026
CLIA Number34D2118213
Laboratory TypePharmacy
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Allison Bassett
Laboratory Phone(863) 668-1188
Laboratory LocationPublix Pharmacy #1519631 Brawley School Road, Mooresville, NC 28117
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.
243 services242 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
225 services225 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
23 services23 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
23 services23 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Publix Pharmacy #1519 carries, from the Medicare DMEPOS supplier directory.

Publix Pharmacy #1519

DMEPOS supplier · Mooresville, NCOperated by Publix North Carolina, LP
✔

Accepts Medicare assignment

Publix Pharmacy #1519 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)20486087
Medicare Participant SinceJanuary 1, 2015
Supplier Location631 Brawley School RdMooresville, NC 28117
Phone(704) 660-6807
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 8

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

SARAH ANN DELAND PHARM.D.
Pharmacist
631 BRAWLEY SCHOOL RD
MOORESVILLE, NC 28117
Iredell County (704) 660-6807
DR. HOANG H. DROUIN D.M.D.
Dentist (General Practice)
631 BRAWLEY SCHOOL RD, SUITE 500
MOORESVILLE, NC 28117
Iredell County (704) 664-7774
BRIAN M BRADIGAN LCASA
Counselor (Addiction (Substance Use Disorder))
631 BRAWLEY SCHOOL RD, STE 200B, PMB301
MOORESVILLE, NC 28117
Iredell County (704) 884-2060
PHOENIX COUNSELING CENTER
Community/Behavioral Health
631 BRAWLEY SCHOOL RD, SUITE 200B PMB 301
MOORESVILLE, NC 28117
Iredell County (704) 360-4531
TOTAL HEALTH CHIROPRACTIC PLLC
Chiropractor
631 BRAWLEY SCHOOL RD, SUITE 502
MOORESVILLE, NC 28117
Iredell County (704) 778-7734
LAUREN ELLARD SHELTON PHARMD
Pharmacist
631 BRAWLEY SCHOOL RD
MOORESVILLE, NC 28117
Iredell County (704) 660-6807
AMANDA CRISTINA MORAES AUBE
Behavior Technician
631 BRAWLEY SCHOOL RD
MOORESVILLE, NC 28117
Iredell County (704) 327-0502
LAKE NORMAN COSMETIC AND RESTORATIVE DENTISTRY
Dentist (General Practice)
631 BRAWLEY SCHOOL RD, SUITE 500
MOORESVILLE, NC 28117
Iredell County (704) 664-7774

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 Publix North Carolina LP's NPI number?

The NPI number for Publix North Carolina LP is 1366890964. It was assigned to this organization in the NPPES registry on May 25, 2016. The provider is doing business as Publix Pharmacy #1519.

Where is Publix North Carolina LP located?

Publix North Carolina LP is located at 631 Brawley School Rd, Mooresville, NC 28117. The listed phone number is (704) 660-6807.

What is Publix North Carolina LP's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Publix North Carolina LP accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Publix Pharmacy #1519 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Publix North Carolina LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2118213) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Publix North Carolina LP accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Home State Health and 41 other insurers list Publix North Carolina LP 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 Publix North Carolina LP was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.