Publix North Carolina Lp
NPI 1366890964 · Community/Retail Pharmacy · Mooresville, NC
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Publix North Carolina Lp is a Community/Retail Pharmacy organization in Mooresville, NC (NPI 1366890964).
Provider details
- NPI number
- 1366890964
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dain Rusk, Vp Pharmacy(863) 688-1188
- License
- 13014 (NC)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
431 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 243 | $20 |
| Admn Sarscov2 Vacc 1 Dose90480 | 165 | $40 |
| Administration of Pneumococcal VaccineG0009 | 23 | $30 |
Typical Medicare-allowed amounts for these services range $20–$40 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Publix Pharmacy #1519
- Doing business as
- Publix Pharmacy #1519
Registry dates
- Enumerated
- 2016-05-25
- Last updated
- 2020-01-03
- Certified
- 2020-01-03
Frequently asked questions
- What is Publix North Carolina Lp's NPI number?
- Publix North Carolina Lp's National Provider Identifier (NPI) is 1366890964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Publix North Carolina Lp?
- Publix North Carolina Lp is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Publix North Carolina Lp located?
- Publix North Carolina Lp's practice location on file with NPPES is 631 Brawley School Rd, Mooresville, NC 28117-6204.
- What is Publix North Carolina Lp's phone number?
- The practice phone number listed in the NPPES registry for Publix North Carolina Lp is (704) 660-6807.
- Does Publix North Carolina Lp accept Medicare?
- Publix North Carolina Lp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Publix North Carolina Lp?
- The authorized official listed on Publix North Carolina Lp's NPPES record is Dain Rusk, Vp Pharmacy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Publix North Carolina Lp's NPI active?
- Yes — Publix North Carolina Lp's NPI (1366890964) is active in the NPPES registry as of the last update on 2020-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.