PUBLIX SUPER MARKETS INC (NPI# 1275572240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275572240 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0086 |
| Practice Address |
4401 Shallowford Rd Roswell GA 30075-3193 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 7706407742 |
| Practice Fax Number | 7706408353 |
| 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 |
PHRE008651 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00915637R | 05 | |
| PK | 2014619 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0086 | 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 |
4401 SHALLOWFORD RD |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-3193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388015 | Connor Jared O'daniels | Pharmacist | 4401 Shallowford Rd, Roswell, GA 30075-3193 | 2019-07-21 |
| 1154843266 | Ashley Love | Pharmacist | 4401 Shallowford Rd, Roswell, GA 30075-3193 | 2017-07-10 |
| 1912244542 | Christopher Land | Pharmacist | 4401 Shallowford Rd, Roswell, GA 30075 | 2013-01-16 |
| 1124365275 | Lauren C Connelly | Pharmacist | 4401 Shallowford Rd, Roswell, GA 30075-3193 | 2013-01-09 |
| 1336441716 | Elsie Y Hester | Pharmacist | 4401 Shallowford Rd, Roswell, GA 30075-3193 | 2010-11-17 |
| 1154550432 | Njs Enterprises, Inc. | Chiropractor | 4401 Shallowford Rd, Suite 142, Roswell, GA 30075-3193 | 2009-07-08 |
| 1588781900 | Stephen Elliott Wilhoite | Dentist | 4401 Shallowford Rd, Suite 140, Roswell, GA 30075-3193 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| 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 |
|---|---|---|---|---|
| 1356835821 | Roswellrx Pharmacy LLC | Pharmacy | 11105 Crabapple Rd, Roswell, GA 30075-2403 | 2018-06-19 |
| 1750410536 | United Supermarkets LLC | Pharmacy | 900 W 2nd St, Roswell, NM 88201-3006 | 2007-03-05 |
| 1982708806 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 12070 Crabapple Rd, Roswell, GA 30075-2422 | 2006-09-12 |
| 1215031158 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 895 Holcomb Bridge Rd, Roswell, GA 30076-1954 | 2006-09-12 |
| 1801801709 | Walgreen Co | Pharmacy | 1835 N Main St, Roswell, NM 88201-5168 | 2006-07-29 |
| 1114932316 | Walgreen Co | Pharmacy | 695 W Crossville Rd, Roswell, GA 30075-2500 | 2006-07-29 |
| 1598386351 | Katherine Mackenzie Wood Wimbley | Pharmacy | 791 Atlanta St, Roswell, GA 30075-4452 | 2020-05-04 |
| 1861975088 | Cvs Pharmacy Inc | Pharmacy | 700 N Union Ave, Roswell, NM 88201-3956 | 2018-09-13 |
| 1528558186 | Masoud Khorsand- Sahbaie Md P A | Pharmacy | 400 Military Heights Pl, Roswell, NM 88201-6407 | 2018-05-18 |
| 1558802207 | Miles Connect LLC | Pharmacy | 1570 Holcomb Bridge Rd, Suite 200, Roswell, GA 30076-4703 | 2017-03-14 |
| Find all providers in ROSWELL | ||||
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.