North Carolina

How to register your pharmacy with the North Carolina (NCIR) Registry

Step 1: Complete NC-NCIR Forms

Complete the following 3 forms:

Note: If your pharmacy does not have a physician, the pharmacist-in-charge may sign the forms instead.

Step 2: Send the Completed Forms to NCIR

Send a copy of the completed forms to NCIR using one of the below methods:

  1. Mail to:
    Immunization Branch
    1917 Mail Service Center
    Raleigh, North Carolina 27699-1917
  2. Fax to:
    Immunization Branch
    1-800-544-3058

Step 3: Send the Completed Forms to Outcomes

Send a copy of the 3 completed forms via email to pwiisforms@outcomes.com

Step 4: Document Vaccines in NCIR and Outcomes 

Please continue to report immunizations to NCIR and update any tasks in the Outcomes platform while our team works on the connection to the state registry.

Step 5: Production

When your pharmacy is approved to Go Live with the state registry for automated reporting, the IIS team will send you a confirmation email with your go-live date. Once your pharmacy is in production, you will no longer need to manually report vaccines on your state registry website