PUBLIX SUPER MARKETS INC (NPI# 1366481335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366481335 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0844 |
| Practice Address |
5900 Spout Springs Rd Flowery Branch GA 30542-6448 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 7709671775 |
| Practice Fax Number | 7709671736 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-11-20 |
| 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 |
PHRE008639 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00915637P | 05 | |
| PK | 2014609 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0844 | 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 |
5900 SPOUT SPRINGS RD |
| City | FLOWERY BRANCH |
| State | GA |
| Zip Code | 30542-6448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831437177 | Wannah Shirley Ackerman | Pharmacist | 5900 Spout Springs Rd, Flowery Branch, GA 30542-6448 | 2013-01-22 |
| 1689921991 | Jayne Margaret Kelly | Dentist | 5900 Spout Springs Rd, Ste U-21, Flowery Branch, GA 30542 | 2012-08-07 |
| 1235146689 | Edward Kelly | Dentist | 5900 Spout Springs Rd, Ste U-21, Flowery Branch, GA 30542-6448 | 2006-08-01 |
| 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.