PUBLIX SUPER MARKETS INC (NPI# 1164461125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164461125 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0122 |
| Practice Address |
1750 Powder Springs Rd Sw Marietta GA 30064-4850 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 7704234164 |
| Practice Fax Number | 7704234174 |
| 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 |
PHRE007466 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2018273 | 01 | |
| GA | 00521342A | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0122 | 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 |
| Street Address |
1750 POWDER SPRINGS RD SW |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-4850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356759716 | Alliance Medical Network | Contractor | 1750 Powder Springs Rd Sw, Suite 190-162, Marietta, GA 30064-4850 | 2014-07-30 |
| 1942548151 | Stephen Alan Lee | Pharmacist | 1750 Powder Springs Rd Sw, Marietta, GA 30064-4850 | 2013-01-22 |
| 1255679627 | Joseph Thomas Wells | Pharmacist | 1750 Powder Springs Rd Sw, Marietta, GA 30064-4850 | 2013-01-19 |
| 1477856417 | Morrison Orthopedics, P.C. | Specialist | 1750 Powder Springs Rd Sw, Ste 510, Marietta, GA 30064-4850 | 2010-12-14 |
| 1568650208 | Larry G Julander | Chiropractor | 1750 Powder Springs Rd Sw, Ste. 230, Marietta, GA 30064-4850 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1558879403 | Marga Pharmacy, Inc | Pharmacy | 2986 Johnson Ferry Rd Ste 116, Marietta, GA 30062-8354 | 2018-01-12 |
| 1457870933 | Concord, Inc | Pharmacy | 4800 Olde Towne Pkwy Ste 120, Marietta, GA 30068-4378 | 2017-09-15 |
| 1952740276 | Beta Discount Pharmacy & Health Services, LLC | Pharmacy | 776 Sandtown Rd Sw, Marietta, GA 30008 | 2013-06-19 |
| 1932477817 | Artem Pharmaceutica LLC | Pharmacy | 595 Roswell St Ne Ste D, Marietta, GA 30060-2163 | 2011-12-07 |
| 1881757482 | Ga Cvs Pharmacy LLC | Pharmacy | 4250 Roswell Rd Ne, Marietta, GA 30062 | 2006-12-18 |
| 1033271333 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 100 Piedmont Rd, Marietta, GA 30066-3636 | 2006-12-14 |
| 1235216003 | Marietta Discount Pharmacy, Inc | Pharmacy | 300 S Highway 77, Marietta, OK 73448-3447 | 2006-11-01 |
| 1811094303 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 3905 Due West Nw Rd, Marietta, GA 30064 | 2006-09-19 |
| 1467556399 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 3930 Shallowford Rd, Marietta, GA 30062-5014 | 2006-09-12 |
| 1962505792 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 684 Cobb Pkwy N, Marietta, GA 30062-3323 | 2006-09-07 |
| Find all providers in MARIETTA | ||||
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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.