PUBLIX SUPER MARKETS, INC. (NPI# 1336466473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336466473 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS, INC. |
| Other Organization Name | PUBLIX PHARMACY #1279 |
| Practice Address |
7334 Spout Springs Rd Flowery Branch GA 30542-5543 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 7709674103 |
| Practice Fax Number | 7709677932 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2010-04-29 |
| 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 | PHRE9640 | GA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2124904 | 01 | |
| GA | 991871862A | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1279 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215560107 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 501 N Beneva Rd Ste 161, Sarasota, FL 34232-1301 | 2020-02-19 |
| 1770116642 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 303 N Clyde Morris Blvd Ste 1001, Daytona Beach, FL 32114-2709 | 2020-02-19 |
| 1366075889 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5810 Seven Mile Drive, Wildwood, FL 34785 | 2020-02-13 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1366074239 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 14323 S Us Highway 301, Wimauma, FL 33598-2039 | 2020-02-10 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
| 1891330940 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 700 N. Miramar Avenue, Indialantic, FL 32903 | 2019-11-13 |
| 1336784966 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5581 Thomaston Rd, Macon, GA 31220-8119 | 2019-11-07 |
| 1649814211 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 601 Nw 2nd Ave, Miami, FL 33136-3942 | 2019-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Publix Super Markets, Inc. | 3300 Publix Corporate Parkway, Lakeland, FL 33811 |
| Iowa Business Entities | PUBLIX SUPER MARKETS, INC. | 3300 Publix Corporate Parkway, Lakeland, FL 33811 |
| New York State Corporations | PUBLIX SUPER MARKETS, INC. | 600 Mamaroneck Avenue, Suite 400, Harrison, New York 10528 |
| Washington State Corporations | PUBLIX SUPER MARKETS, INC. | 3300 Publix Corporate Pkwy, Lakeland, FL 33811-3311 |
| Oregon Corporations, Companies and Business Names | PUBLIX SUPER MARKETS, INC. | 3300 Publix Corporate Pkwy, Lakeland, FL 33811 |
| Street Address |
7334 SPOUT SPRINGS RD |
| City | FLOWERY BRANCH |
| State | GA |
| Zip Code | 30542-5543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063759934 | Adrienne Susan Marzano | Pharmacist | 7334 Spout Springs Rd, Flowery Branch, GA 30542-5543 | 2013-01-11 |
| 1750682852 | Clinton Thomas Tucker | Pharmacist | 7334 Spout Springs Rd, Flowery Branch, GA 30542-5543 | 2010-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974709 | Medlife Healthcare | Clinic/Center | 2129 Friendship Rd, Flowery Branch, GA 30542 | 2020-08-27 |
| 1437673431 | Ronnie Weeks Lcsw LLC | Social Worker | 4825 Oliver Road, Flowery Branch, GA 30542 | 2017-08-01 |
| 1801342183 | Hema Sundar | Dentist | 4028 Winder Highway, Edmonton, GA 30542 | 2016-08-28 |
| 1316397037 | Georgia Dental Professionals, PC | Dentist | 4030 Winder Highway, Flowery Branch, GA 30542 | 2016-06-14 |
| 1285067793 | Home Care Matters | Home Health | 5505 Church St, Suite 240, Flowery Branch, GA 30542 | 2013-08-20 |
| 1093957052 | Janelle Elizabeth Luczka | Social Worker | 4331 Thurmond Tanner Pkwy, Flowery Branch, GA 30542 | 2009-04-06 |
| 1073764791 | Guillermina Osoria | Driver | 1707 Tree Park Cir, Flowery Branch, GA 30542 | 2008-10-01 |
| 1083888531 | Ingles Markets Inc | Pharmacy | 4260 Winder Hwy, Flowery Branch, GA 30542 | 2008-04-16 |
| 1679793038 | Sonea Maria Russell | Physical Therapy Assistant | Willowood Nursing Center, 4595 Cantrell Road, Flowery Branch, GA 30542 | 2007-04-26 |
| 1134345895 | Ray Charles Davis | Psychiatry & Neurology | 4331 Thurmond Tanner Parkway, Flowery Branc, GA 30542 | 2007-04-18 |
| Find all providers in zip 30542 | ||||
| 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 |
|---|---|---|---|---|
| 1871757997 | The Kroger Co | Pharmacy | 4025 Winder Hwy, Flowery Branch, GA 30542-3022 | 2008-07-17 |
| 1083888531 | Ingles Markets Inc | Pharmacy | 4260 Winder Hwy, Flowery Branch, GA 30542 | 2008-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | FLOWERY BRANCH |
| Zip Code | 30542 |
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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.