PUBLIX ALABAMA LLC (NPI# 1174088983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174088983 |
| Entity Type | Organization |
| Organization Name | PUBLIX ALABAMA LLC |
| Other Organization Name | PUBLIX PHARMACY #1642 |
| Practice Address |
7129 Wall Triana Highway Madison AL 35757 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 2569706451 |
| Practice Fax Number | 2562701664 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2019-02-06 |
| 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 |
Suppliers |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1642 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985499 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 21 Shell Street, Saraland, AL 36571-6181 | 2018-09-11 |
| 1336641893 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2286 Zierdt Rd Sw, Huntsville, AL 35824-1904 | 2018-03-01 |
| 1508378845 | Publix Alabama LLC | Pharmacy | 1660 Old Monrovia Rd Nw, Huntsville, AL 35806-1544 | 2017-10-26 |
| 1063924397 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 | 2017-10-26 |
| 1801346283 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1147 Us Hwy 231 South, Troy, AL 36081 | 2016-10-10 |
| 1942754403 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 230 20th St S, Birmingham, AL 35233-2022 | 2016-08-12 |
| 1538511274 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 3220 Woodward Ave, Muscle Shoals, AL 35661-3322 | 2016-07-06 |
| 1023489390 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 128 E Grand Ave, Rainbow City, AL 35906-6252 | 2015-10-13 |
| 1437527462 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1104 Cullman Shopping Ctr Nw, Cullman, AL 35055-2855 | 2015-09-08 |
| 1407252992 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 655 Fieldstown Rd, Gardendale, AL 35071-2411 | 2014-11-10 |
| Street Address |
7129 WALL TRIANA HIGHWAY |
| City | MADISON |
| State | AL |
| Zip Code | 35757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649415902 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 7271 Wall Triana Hwy, Madison, AL 35757 | 2008-12-15 |
| 1679722094 | Joan Harris Palmer | Family Medicine | 4022 Windswept Dr, Madison, AL 35757 | 2008-09-10 |
| 1689848467 | Jamilla Jean Thomas | Driver | 113 Centurion Drive, Madison, AL 35757 | 2008-04-14 |
| 1184081978 | Wound Ostomy Continence Care LLC | Nurse Practitioner | 7519 Wall Triana Hwy, Madison, AL 35757 | 2016-01-25 |
| 1366043069 | Daniel Mccrary | Social Worker | 609 Quiet Creek Cir Nw, Madison, AL 35757-6354 | 2020-11-08 |
| 1780297572 | Qyonna I. Grady | Social Worker | 106 Cotton Boll Dr Nw, Madison, AL 35757-6948 | 2020-08-31 |
| 1548897911 | Whitey Windham Smith | Speech-Language Pathologist | 320 Kenneth Blvd Nw, Madison, AL 35757-6953 | 2020-03-25 |
| 1487605432 | Luis R Rodriguez | General Practice | 102 Rockhaven Dr Nw, La Estancia, Hacienda San Jose, Madison, AL 35757-6973 | 2006-05-15 |
| 1851347033 | Valley View Health and Rehabilitation, LLC | Skilled Nursing Facility | 5968 Wall Triana Hwy, Madison, AL 35757-7200 | 2006-05-26 |
| 1447562939 | Jahmela Williams | Counselor | 4095 Lawson Ridge Dr Apt 1016, Madison, AL 35757-7231 | 2010-07-13 |
| Find all providers in zip 35757 | ||||
| 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 |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1578955381 | Uptown Pharmacy | Pharmacy | 1042 Gluckstadt Rd, Suite D, Madison, MS 39110-6981 | 2015-03-03 |
| 1346651296 | Roundys Supermarkets Inc | Pharmacy | 6010 Cottage Grove Rd, Madison, WI 53718-1300 | 2014-05-14 |
| 1831536648 | Keystone Pharmacy, LLC | Pharmacy | 118 Weisenberger Road, Sutie #400, Madison, MS 39110 | 2013-06-03 |
| 1376885152 | Hy Vee Inc | Pharmacy | 675 S Whitney Way, Madison, WI 53711-1034 | 2013-03-20 |
| 1982943924 | District Council of Madison Inc | Pharmacy | 2033 Fish Hatchery Rd, Madison, WI 53725-9686 | 2013-02-12 |
| 1801028030 | Hy Vee Inc | Pharmacy | 3801 E Washington Ave, Madison, WI 53704-3648 | 2009-08-21 |
| 1780875955 | Walgreen Co | Pharmacy | 129 Clifty Dr, Madison, IN 47250-1601 | 2007-08-05 |
| 1225238926 | Roundys Supermarkets Inc | Pharmacy | 3650 University Ave, Madison, WI 53705-2143 | 2007-07-20 |
| Find all providers in MADISON | ||||
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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.