Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PUBLIX NORTH CAROLINA LP
NPI 1457872137
Pharmacy - Community/Retail Pharmacy in Clemmons, NC

Active since July 03, 2017
3150 GAMMON LN, CLEMMONS, NC 27012(336) 293-9704(336) 793-4468 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 3, 2020, Nov 14, 2019, Jul 3, 2017 (3 updates tracked since 2017).

About Publix North Carolina Lp NPPES

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

PUBLIX NORTH CAROLINA LP (NPI 1457872137) is a healthcare organization registered as a community/retail pharmacy in Clemmons, North Carolina and active in the NPI registry since July 2017. The organization lists Catherine E Scanlon, Vp Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1457872137
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePUBLIX NORTH CAROLINA LP
Location Address3150 GAMMON LNClemmons, NC 27012-9052
Mailing AddressPo Box 639680Cincinnati, OH 45263-9680 · (863) 688-1188
Fax(336) 793-4468
Organization SubpartNo
Authorized OfficialCatherine E ScanlonVp Of Pharmacy · (863) 688-1188
Enumeration DateJuly 3, 2017
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1457872137 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 13386 (NC)
3150 GAMMON LN, Clemmons, NC 27012

Other Names 1

Other NamePublix Pharmacy #1574

Other Identifiers 2

Other2171899Pk
Medicaid1457872137NC

Accepted Insurance

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
222 services217 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.
206 services206 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20485607
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 2

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

Pharmacist
3150 GAMMON LN
CLEMMONS, NC 27012
Pharmacist
3150 GAMMON LN
CLEMMONS, NC 27012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457872137, enumerated as an "organization" on July 03, 2017.

The provider is located at 3150 GAMMON LN CLEMMONS, NC 27012 and the phone number is (336) 293-9704.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.