PUBLIX SUPER MARKETS INC (NPI# 1215977699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215977699 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0864 |
| Practice Address |
13650 Fiddlesticks Blvd Fort Myers FL 33912-0312 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 2397681413 |
| Practice Fax Number | 2397687396 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-12-06 |
| 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 |
PH0018880 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 025833400 | 05 | |
| PK | 2015107 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0864 | 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 |
13650 FIDDLESTICKS BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-0312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346872926 | Kelly Flatley | Pharmacist | 13650 Fiddlesticks Blvd, Fort Myers, FL 33912-0312 | 2020-02-11 |
| 1629583422 | Aiste Sudmantaite | Pharmacist | 13650 Fiddlesticks Blvd, Fort Myers, FL 33912-0312 | 2017-12-04 |
| 1992042592 | Ryan E Archey | Pharmacist | 13650 Fiddlesticks Blvd, Fort Myers, FL 33912-0312 | 2013-01-16 |
| 1891032959 | Elise N Manee | Pharmacist | 13650 Fiddlesticks Blvd, Fort Myers, FL 33912-0312 | 2013-01-09 |
| 1265617286 | Fiddlesticks Dental Care | Clinic/Center | 13650 Fiddlesticks Blvd, Suite 200, Fort Myers, FL 33912-0312 | 2008-01-09 |
| 1548351950 | Devki Adi | Dentist | 13650 Fiddlesticks Blvd, Unit 200, Fort Myers, FL 33912-0312 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| 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 |
|---|---|---|---|---|
| 1487276663 | Total Healthcare Alliance | Pharmacy | 3510 Dr Martin Luther King Blvd Ste 1, Fort Myers, FL 33916-4608 | 2020-05-11 |
| 1245797554 | Gateway Drugs Pllc | Pharmacy | 12401 Commerce Lakes Dr Ste 3, Fort Myers, FL 33913-8663 | 2019-02-22 |
| 1649775693 | Aon Pharmacy, LLC | Pharmacy | 14543 Global Pkwy Ste 110, Fort Myers, FL 33913-9446 | 2018-03-29 |
| 1972973055 | Family Pharmacy & Medical Supply | Pharmacy | 9861 Bernwood Place Dr Ste 145, Fort Myers, FL 33966-6545 | 2015-10-01 |
| 1730493529 | Knap Inc. | Pharmacy | 3432 Cleveland Ave, Fort Myers, FL 33901-7108 | 2010-08-04 |
| 1801057153 | Holiday Cvs LLC | Pharmacy | 9350 Dynasty Dr, Fort Myers, FL 33905-5574 | 2008-06-19 |
| 1184885436 | Holiday Cvs LLC | Pharmacy | 15880 San Carlos Blvd, Ste 101, Fort Myers, FL 33908-3383 | 2008-06-19 |
| 1124149604 | Costco Wholesale Corp | Pharmacy | 10088 Gulf Center Dr, Fort Myers, FL 33913 | 2007-04-03 |
| 1003976036 | Bjs Wholesale Club Inc | Pharmacy | 9300 Ben C Pratt Six Mile Cypress Pkwy, Fort Myers, FL 33912 | 2006-12-11 |
| 1194820936 | Holiday Cvs LLC | Pharmacy | 11300 State Road 82, Fort Myers, FL 33905-5400 | 2006-09-14 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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.