Synchrony North Carolina RX, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SYNCHRONY NORTH CAROLINA RX, LLC

Doing business as

Synchrony Charlotte Pharmacy

Practice address

9009 Perimeter Woods Dr Ste K
Charlotte, NC 28216-0040

Phone

(866) 752-9509

NPI assigned

Mar 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Trent Blacketer

Title

VP Operations

Phone

(502) 608-9183

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Synchrony Charlotte Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcy Russell, PHARMD

  • Pharmacist
  • Charlotte, NC
  • NPI 1164937728
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1255030110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 PERIMETER WOODS DR STE K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 PERIMETER WOODS DR STE K",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160040",
            "telephone_number": "866-752-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNCHRONY NORTH CAROLINA RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "BLACKETER",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "502-608-9183",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY PERMIT",
            "identifier": "15124",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synchrony Charlotte Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Synchrony Charlotte Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Anya C Symmonett, MA
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• Synergy Medical Supply
• Synergy, PLLC
• Patrece Dear Duhig Syquia, PHARMD, CSP
• Royce Rosario Syracuse, MD

• Long Term Care Pharmacy in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Long Term Care Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.