PUBLIX SUPER MARKETS INC (NPI# 1245271733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245271733 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0612 |
| Practice Address |
4850 Sugarloaf Pkwy Lawrenceville GA 30044-2859 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 7702775246 |
| Practice Fax Number | 7706823791 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-08 |
| 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 |
PHRE008145 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00773462A | 05 | |
| PK | 2019889 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0612 | 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 |
4850 SUGARLOAF PKWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343059 | Linda Nguyen | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2019-08-30 |
| 1619453248 | Rahima Deka | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2018-07-17 |
| 1760835995 | Dina Keever | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2016-07-23 |
| 1649611955 | Barry Charles Campbell | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2013-07-15 |
| 1972841351 | James Herndon | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2013-01-20 |
| 1144567082 | Sheena Philip | Pharmacist | 4850 Sugarloaf Pkwy, Lawrenceville, GA 30044-2859 | 2013-01-11 |
| 1629128988 | Sugarloaf Crossing Dental Center LLC | Point of Service | 4850 Sugarloaf Pkwy, Suite 204, Lawrenceville, GA 30044-2859 | 2007-01-11 |
| 1982754909 | Steven David Glasser | Dentist | 4850 Sugarloaf Pkwy, Suite 204, Lawrenceville, GA 30044-2859 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| 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 |
|---|---|---|---|---|
| 1235649716 | Lawrenceville Community Pharmacy, Inc | Pharmacy | 3157 Sugarloaf Pkwy Ste 103, Lawrenceville, GA 30045-9490 | 2017-10-10 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1912260555 | Neighbourhood Pharmacy LLC | Pharmacy | 150 Hurricane Shoals Rd Nw Ste G, Lawrenceville, GA 30046-4115 | 2012-06-19 |
| 1497011860 | Elle's Pharmacy | Pharmacy | 150 Hurricane Shoals Rd Nw, Suite G, Lawrenceville, GA 30046-4115 | 2012-04-10 |
| 1023389046 | Lawrenceville Discount Pharmacy LLC | Pharmacy | 905 Parkside Walk Ln Ste 108, Lawrenceville, GA 30043-7314 | 2012-01-23 |
| 1174852966 | Old Norcross Road Pharmacy LLC | Pharmacy | 558 Old Norcross Rd, Suite 201, Lawrenceville, GA 30046-4385 | 2009-12-08 |
| 1477637908 | New Jersey Cvs Pharmacy LLC | Pharmacy | 2721 Brunswick Pike, Lawrenceville, NJ 08648-4106 | 2006-10-24 |
| 1063504652 | New Jersey Cvs Pharmacy LLC | Pharmacy | 1900 Us Highway 1, Lawrenceville, NJ 08648-4604 | 2006-09-29 |
| 1336240159 | Eckerd Corporation | Pharmacy | 1097 Duluth Hwy, Lawrenceville, GA 30043-7310 | 2006-09-26 |
| 1114026382 | Eckerd Corporation | Pharmacy | 605 Highway 20 S, Lawrenceville, GA 30045-6333 | 2006-09-22 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
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.