PUBLIX SUPER MARKETS INC (NPI# 1073552030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073552030 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0450 |
| Practice Address |
2715 Dawson Rd Albany GA 31707-1673 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 2294312890 |
| Practice Fax Number | 2294312304 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-11-18 |
| 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 |
PHRE007625 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2018446 | 01 | |
| GA | 00559479A | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0450 | 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 |
2715 DAWSON RD |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013564681 | Kristen Leigh Greene | Pharmacist | 2715 Dawson Rd, Albany, GA 31707-1673 | 2019-08-19 |
| 1457906778 | Lindsey Marie Bruner | Pharmacist | 2715 Dawson Rd, Albany, GA 31707-1673 | 2019-08-04 |
| 1831642107 | Yen Le | Pharmacist | 2715 Dawson Rd, Albany, GA 31707-1673 | 2016-08-03 |
| 1154790236 | Haley O'hearn | Pharmacist | 2715 Dawson Rd, Albany, GA 31707-1673 | 2015-09-18 |
| 1205210721 | Valana Vannoy | Pharmacist | 2715 Dawson Rd, Albany, GA 31707-1673 | 2015-07-14 |
| 1154726750 | Tekia Hamilton | Pharmacist | 2715 Dawson Rd, Albany, GA 31707-1673 | 2014-10-27 |
| 1790022473 | Tachanda Bryant | Pharmacist | 2715 Dawson Rd, Albany, GA 31707-1673 | 2013-01-15 |
| 1447597190 | Larry K Jones | Pharmacist | 2715 Dawson Rd, Albany, GA 31707-1673 | 2013-01-14 |
| 1588901250 | Christopher Scott Harris | Pharmacist | 2715 Dawson Rd, Albany, GA 31707-1673 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| 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 |
|---|---|---|---|---|
| 1972104354 | Jrrx LLC | Pharmacy | 621 Hickory St Nw, Albany, OR 97321-1754 | 2020-11-03 |
| 1508331224 | Hy Vee Inc | Pharmacy | 703 E Us Highway 136, Albany, MO 64402-8209 | 2018-10-09 |
| 1841770971 | Albany Area Primary Health Care, Inc. | Pharmacy | 1712 E Broad Ave Ste A, Albany, GA 31705-2611 | 2018-08-17 |
| 1093214074 | Walgreen Co | Pharmacy | 33 New Scotland Ave Ste 106, Albany, NY 12208-3560 | 2018-02-06 |
| 1386031334 | Forteen Star Enterprises Inc | Pharmacy | 65 Central Ave, Albany, NY 12206-3054 | 2015-04-16 |
| 1033557814 | Walgreen Co | Pharmacy | 2200 E Oglethorpe Blvd Ste A, Albany, GA 31705-3084 | 2013-06-13 |
| 1285973313 | Roberts' Pharmacy LLC | Pharmacy | 190 Westview Shopping Ctr, Albany, KY 42602-1600 | 2013-02-09 |
| 1477891893 | Town Total Health LLC | Pharmacy | 728 Madison Ave Ste B1, Albany, NY 12208-3302 | 2013-01-18 |
| 1336425164 | Shoprite Supermarkets, Inc | Pharmacy | 709 Central Ave, Albany, NY 12206-1601 | 2011-10-25 |
| 1699001636 | Sander's Drug Store | Pharmacy | 104 South Main St., Albany, TX 76430-8054 | 2009-10-27 |
| Find all providers in ALBANY | ||||
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| 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.