PUBLIX SUPER MARKETS INC (NPI# 1225078645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225078645 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0545 |
| Practice Address |
11155 Tara Blvd Hampton GA 30228-1672 |
| Mailing Address |
Po Box 116181 Atlanta GA 30368-6181 |
| Practice Telephone | 7704736886 |
| Practice Fax Number | 7704734716 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | JACQUELINE RUSCH (MANAGER OF MANAGED CARE) |
| Authorized Official Telephone | 8636881188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE007931 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00685748A | 05 | |
| PK | 2019234 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0545 | 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 |
11155 TARA BLVD |
| City | HAMPTON |
| State | GA |
| Zip Code | 30228-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952649014 | Robert Haynes | Pharmacist | 11155 Tara Blvd, Hampton, GA 30228-1672 | 2013-01-24 |
| 1831437227 | Cheryl N Mistry | Pharmacist | 11155 Tara Blvd, Hampton, GA 30228-1672 | 2013-01-21 |
| 1922346410 | Regina Jacobs Warner | Pharmacist | 11155 Tara Blvd, Hampton, GA 30228-1672 | 2013-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196166 | Mutinta Matimba Hamuwele | Nurse Practitioner | 10988 Genova Ter, Hampton, GA 30228 | 2020-05-19 |
| 1487295044 | Living Testimony Homecare, LLC | Home Health | 10833 Southwood Drive, Hampton, GA 30228 | 2019-10-04 |
| 1598246878 | Emma Ledbetter | Nurse Practitioner | 1910 Elm Park Dr, Hampton, GA 30228 | 2018-08-24 |
| 1720506231 | O'reilly Comprehensive Dermatology, Inc. | Dermatology | 755 Mount Vernon Hwy., Suite 330, Atlanta, GA 30228 | 2017-09-05 |
| 1720500648 | Sophia Demetria Edwards | Home Health Aide | 2059 Grove Way, Hampton, GA 30228 | 2017-07-12 |
| 1083143432 | Ciera Jayna Scales | Dentist | 144 Revolutionary Dr, Hampton, GA 30228 | 2017-06-08 |
| 1811446438 | Alwarna Pasteur | Contractor | 1419 Hyde Court, Hampton, GA 30228 | 2016-09-23 |
| 1932599370 | Corlyn Doolittle | Speech-Language Pathologist | 412 Lakeside Villa Dr, Lovejoy, GA 30228 | 2015-01-23 |
| 1114367596 | Mayer Counseling Services,llc | Counselor | 591 Toronto Circle, Hampton, GA 30228 | 2013-06-28 |
| 1932544269 | Eye Can See Eyewear Inc. | Technician/Technologist | 22 E. Main St. N., Hampton, GA 30228 | 2013-04-30 |
| Find all providers in zip 30228 | ||||
| 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 |
|---|---|---|---|---|
| 1932612736 | Cornerstone Rx | Pharmacy | 2100 Executive Dr Ste A, Hampton, VA 23666-2402 | 2017-11-15 |
| 1265944508 | Crwon Medical Inc. | Pharmacy | 695 Highway 3 N, Hampton, GA 30228-2832 | 2017-10-26 |
| 1700131927 | R & S Pharmacy | Pharmacy | 3321 W Mercury Blvd Ste D, Hampton, VA 23666-3806 | 2012-07-14 |
| 1366751752 | Victory Pharmacy Corporation | Pharmacy | 11328 Tara Blvd, Hampton, GA 30228-6229 | 2010-10-01 |
| 1982839916 | Virginia Cvs Pharmacy LLC | Pharmacy | 5001 Holt Ave, Hampton, VA 23666-2282 | 2009-05-20 |
| 1578616025 | Freds Stores of Tennessee Inc | Pharmacy | 80 Oak Street, Hampton, GA 30228 | 2007-01-19 |
| 1023173259 | R and D Apothecary, Inc | Pharmacy | 6 1st St Nw, Hampton, IA 50441-1902 | 2006-12-27 |
| 1528075553 | Walgreen Co | Pharmacy | 3326 W Mercury Blvd, Hampton, VA 23666-3807 | 2006-08-02 |
| 1902811953 | Walgreen Co | Pharmacy | 235 E Mercury Blvd, Hampton, VA 23669-2458 | 2006-07-29 |
| 1497772370 | Moyes Pharmacy Inc | Pharmacy | 34 E Main St S, Hampton, GA 30228-2930 | 2006-07-16 |
| Find all providers in HAMPTON | ||||
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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.