Na+- Ca2+ exchanger (NCX) has been proposed to play a role in refilling the sarco/endoplasmic reticulum (SER) Ca2+ pool along with the SER Ca2+ pump (SERCA). Here, SERCA inhibitor thapsigargin was used to determine the effects of SER Ca2+ depletion on NCX–SERCA interactions in smooth muscle cells cultured from pig coronary artery. The cells were Na+-loaded and then placed in either a Na+-containing or in a Na+-substituted solution. Subsequently, the difference in Ca2+ entry between the two groups was examined and defined as the NCX mediated Ca2+ entry. The NCX mediated Ca2+ entry in the smooth muscle cells was monitored using two methods: Ca2+sensitive fluorescence dye Fluo-4 and radioactive Ca2+. Ca2+-entry was greater in the Na+-substituted cells than in the Na+-containing cells when measured by either method. This difference was established to be NCX-mediated as it was sensitive to the NCX inhibitors. Thapsigargin diminished the NCX mediated Ca2+ entry as determined by either method. Immunofluorescence confocal microscopy was used to determine the co-localization of NCX1 and subsarcolemmal SERCA2 in the cells incubated in the Na+-substituted solution with or without thapsigargin. SER Ca2+ depletion with thapsigargin increased the co-localization between NCX1 and the subsarcolemmal SERCA2. Thus, inhibition of SERCA2 leads to blockade of constant Ca2+ entry through NCX1 and also increases proximity between NCX1 and SERCA2. This blockade of Ca2+ entry may protect the cells against Ca2+-overload during ischemia–reperfusion when SERCA2 is known to be damaged.