The road begins in New Quay near the waterfront area and (north to south) passes through or by the settlements of: •
Maenygroes •
Cross Inn • Synod Inn (junction with
A487 and B4338) •
Capel Cynon •
Ffostrasol •
Croes-Lan •
Horeb (junction with
A475) •
Llandysul (bypassed, junction with B4624) •
Dolgran •
Pentrecwrt The A486 finishes at the junction with the A484 in Saron.