PUBLIX SUPER MARKETS INC (NPI# 1255370219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255370219 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0431 |
| Practice Address |
171 Village At Glynn Pl Brunswick GA 31525-1989 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 9122614734 |
| Practice Fax Number | 9122614735 |
| 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 |
PHRE007455 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2018270 | 01 | |
| GA | 00520891A | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0431 | 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 |
171 VILLAGE AT GLYNN PL |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31525-1989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649518226 | Linda M Bland | Pharmacist | 171 Village At Glynn Pl, Brunswick, GA 31525-1989 | 2013-01-16 |
| 1679810626 | Melissa Luce | Pharmacist | 171 Village At Glynn Pl, Brunswick, GA 31525-1989 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905990 | Jonathon Wesley Capps | Physician Assistant | 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 | 2018-06-14 |
| 1366993628 | Hands Down Muscle Restoration, Inc | Homeopath | 1212 Chapel Crossing Road, Brunswick, GA 31525 | 2016-10-20 |
| 1619424173 | Jebediah S Christy Dds - Brunswick Pllc | Dentist | 11455 Canal Crossing, Brunswick, GA 31525 | 2016-09-01 |
| 1831545508 | Heller Family Medicine, LLC | General Practice | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2016-05-11 |
| 1437525391 | Natisha Danielle Hill | Occupational Therapy Assistant | 138 Wingefield Commons Drive, Brunswick, GA 31525 | 2015-08-14 |
| 1811269632 | Solar Family Practice | Family Medicine | 122 Scranton Connector, Suite 112, Brunswick, GA 31525 | 2012-02-09 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| 1194914275 | Dialysis of Golden Isles, LLC | Clinic/Center | 475 Gateway Center Blvd, Brunswick, GA 31525 | 2007-10-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| Find all providers in zip 31525 | ||||
| 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 |
|---|---|---|---|---|
| 1497272728 | Weis Markets, Inc. | Pharmacy | 1201 Dutchman's Creek Drive, Brunswick, MD 21716 | 2017-08-28 |
| 1710359864 | Genoa Healthcare, LLC | Pharmacy | 600 Coastal Village Dr Rm 107, Brunswick, GA 31520-1973 | 2015-10-28 |
| 1619000684 | Marc Glassman Inc | Pharmacy | 3303 Center Rd, Brunswick, OH 44212-3830 | 2007-03-13 |
| 1760585418 | Georgia Cvs Pharmacy LLC | Pharmacy | 1709 Gloucester St, Brunswick, GA 31520-6902 | 2006-09-07 |
| 1851494512 | Georgia Cvs Pharmacy LLC | Pharmacy | 5421 New Jesup Hwy, Brunswick, GA 31523-1137 | 2006-09-07 |
| 1952316721 | City Drug Store | Pharmacy | 1402 Newcastle St, Brunswick, GA 31520-7018 | 2006-07-30 |
| 1871508895 | Walgreen Co | Pharmacy | 1337 Pearl Rd, Brunswick, OH 44212-2807 | 2006-07-29 |
| 1942215058 | Walgreen Co | Pharmacy | 4575 Altama Ave, Brunswick, GA 31520-3008 | 2006-07-29 |
| 1336165547 | Southeastern Pharmacy LLC | Pharmacy | 5711 Altama Ave, Unit G, Brunswick, GA 31525-2240 | 2006-07-14 |
| 1538683529 | Walgreen Co | Pharmacy | 156 Maine St, Brunswick, ME 04011-2007 | 2017-08-01 |
| Find all providers in BRUNSWICK | ||||
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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.