PUBLIX SUPER MARKETS INC (NPI# 1033390901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033390901 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1180 |
| Practice Address |
1251 S Toledo Blade Blvd North Port FL 34288-2410 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 9412405536 |
| Practice Fax Number | 9412405978 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | DAIN RUSK (VP PHARMACY) |
| Authorized Official Telephone | 8636881188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH23067 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2010244 | 01 | |
| FL | 032401900 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1180 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753270 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 18320 Collins Ave, Sunny Isles Beach, FL 33160-2429 | 2018-06-07 |
| 1386147775 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 83268 Overseas Hwy, Islamorada, FL 33036-3511 | 2018-03-13 |
| 1043713746 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 5550 Chamblee Dunwoody Rd, Dunwoody, GA 30338-4111 | 2018-03-09 |
| 1841791126 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 510 Ga Highway 247 S, Bonaire, GA 31005-3865 | 2018-02-22 |
| 1992206254 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 10015 N Dale Mabry Hwy, Tampa, FL 33618-4409 | 2018-02-22 |
| 1609375286 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 4701 S University Dr, Davie, FL 33328-3819 | 2018-02-08 |
| 1689186926 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 10450 Pines Blvd, Pembroke Pines, FL 33026-6044 | 2017-10-26 |
| 1902318231 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1430 Tiger Park Ln, Gulf Breeze, FL 32563-5718 | 2017-10-26 |
| 1750892683 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 8455 Nw 53rd Ter, Doral, FL 33166-4517 | 2017-10-18 |
| 1063941052 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 1355 N Ferdon Blvd, Crestview, FL 32536-1713 | 2017-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Publix Super Markets Inc. | 15720 Brixham Hill Avenue #300, Charlotte, NC 28277-4651 |
| Virginia Business Entities | Publix Super Markets Inc. | 3300 Publix Corporate Pkwy, Po Box 32027, Lakeland, Florida 33811 |
| Street Address |
1251 S TOLEDO BLADE BLVD |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34288-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248385 | Alyssa Munno | Pharmacist | 1251 S Toledo Blade Blvd, North Port, FL 34288-2410 | 2020-09-04 |
| 1740769314 | Richard Darrell Weiss | Pharmacist | 1251 S Toledo Blade Blvd, North Port, FL 34288-2410 | 2018-08-14 |
| 1003332123 | Brandon Haarer | Pharmacist | 1251 S Toledo Blade Blvd, North Port, FL 34288-2410 | 2017-08-21 |
| 1700286168 | Kyle Klettner | Pharmacist | 1251 S Toledo Blade Blvd, North Port, FL 34288-2410 | 2014-09-03 |
| 1922345552 | Jeanine Cioffi | Pharmacist | 1251 S Toledo Blade Blvd, North Port, FL 34288-2410 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245787795 | Hope Diana | Dental Hygienist | 3026 Seth Road, North Port, FL 34288 | 2016-09-01 |
| 1942402946 | Melinda Wilson | Physical Therapy Assistant | 5999 Bibb Court, North Port, FL 34288 | 2007-06-01 |
| 1447314190 | Girish D. Patel | Internal Medicine | 2500 Bobcat Village Center Rd, Suite E, North Port, FL 34288 | 2006-12-20 |
| 1295804649 | Francisco V Ramirez IIi | Physical Therapist | 2530 Bobcat Village Center Rd Unit C, North Port, FL 34288 | 2006-11-07 |
| 1104878016 | William L Crouch Iv | Family Medicine | 2630 Bobcat Village Center Road, North Port, FL 34288 | 2006-05-17 |
| 1700398864 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 1500 Price Creek Way, North Port, FL 34288 | 2017-10-30 |
| 1629517321 | Ketul Shah | Physical Therapist | 2530 Bobcat Village Center Rd Unit C, North Port, FL 34288 | 2017-02-15 |
| 1881835569 | Northport Emergency Associates, Pa | Emergency Medicine | 2345 Bobcat Village Center Rd, North Port, FL 34288 | 2009-03-10 |
| 1417085069 | Pieter H. Tepaske | Physical Therapist | 2530 Bobcat Village Center Rd Unit C, North Port, FL 34288 | 2007-03-02 |
| 1932576733 | Erika Miley | Counselor | 1121 W Price Blvd # 107, North Port, FL 34288-1814 | 2015-08-27 |
| Find all providers in zip 34288 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033214879 | Holiday Cvs LLC | Pharmacy | 14988 Tamiami Trl, North Port, FL 34287 | 2006-09-14 |
| 1164461000 | Publix Super Markets Inc | Pharmacy | 17179 Tamiami Trl, North Port, FL 34287-7291 | 2006-06-06 |
| 1104460419 | Dhruv Patel | Pharmacy | 1100 S Main St, North Port, FL 34287-3500 | 2019-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PORT |
| Zip Code | 34288 |
Please comment or provide details below to improve the information on PUBLIX SUPER MARKETS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.