PUBLIX SUPER MARKETS INC


Address: 378 Veterans Pkwy N, Moultrie, GA 31788-4171
Phone: 2292174816

PUBLIX SUPER MARKETS INC (NPI# 1508313164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508313164
Entity Type Organization
Organization Name PUBLIX SUPER MARKETS INC
Other Organization Name PUBLIX PHARMACY #1540
Practice Address 378 Veterans Pkwy N
Moultrie
GA 31788-4171
Mailing Address Po Box 639680
Cincinnati
OH 45263-9680
Practice Telephone 2292174816
Practice Fax Number 2297858246
Mailing Telephone 8636881188
Enumeration Date 2016-09-01
Last Update Date 2019-11-18
Authorized Official Name DAIN RUSK (VP PHARMACY)
Authorized Official Telephone 8636881188
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
N 333600000X Pharmacy PHRE010315 GA Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2164497 01
GA 003182546A 05

Other Provider/Organization Names

Other Name Type Code
Publix Pharmacy #1540 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
North Carolina Corporations Publix Super Markets Inc. 15720 Brixham Hill Avenue #300, Charlotte, NC 28277-4651

Office Location

Street Address 378 VETERANS PKWY N
City MOULTRIE
State GA
Zip Code 31788-4171

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528674439 Lindsay Mobley Pharmacist 378 Veterans Pkwy N, Moultrie, GA 31788-4171 2020-09-17
1346727955 Courtney Foy Edwards Pharmacist 378 Veterans Pkwy N, Moultrie, GA 31788-4171 2018-07-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295283620 Convenient Rx LLC Pharmacy 640 Veterans Pkwy N, Moultrie, GA 31788 2016-09-14
1861745994 Sherry Marie Mccoy Clinical Nurse Specialist 3015 Veterans Parkaway, Moultrie, GA 31788 2012-10-26
1083874895 Opal Jean M Norman Speech-Language Pathologist 4969 Old Adel Rd, Moultrie, GA 31788-1276 2008-06-16
1558440800 Colquitt County Board of Education Local Education Agency (LEA) 348 Industrial Dr, Moultrie, GA 31788-1842 2006-11-06
1295378982 Jamshaid Mukhtar Cheema Physician Assistant Turning Point Care Center, 3015 Veterans Pkway S, Moultrie, GA 31788-2397 2019-10-24
1518347418 Careconnect Health, Inc. Clinic/Center 358 Veterans Pkwy N, Moultrie, GA 31788-4171 2015-06-05
1538689757 Lauren Milligan Social Worker 358 Veterans Pkwy N, Moultrie, GA 31788-4171 2017-06-20
1457693004 Walgreen Co Durable Medical Equipment & Medical Supplies 2025 1st Ave Se, Moultrie, GA 31788-5155 2013-03-21
1700193232 United Rehab Inc Clinic/Center 2015 1st Ave Se, Moultrie, GA 31788-5155 2010-09-03
1083226732 Alex Lam Pharmacist 2025 1st Ave Se, Moultrie, GA 31788-5155 2020-08-22
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487128799 Niday Drug Company LLC Pharmacy 2707 S Main St, Moultrie, GA 31768-6906 2019-01-20
1295283620 Convenient Rx LLC Pharmacy 640 Veterans Pkwy N, Moultrie, GA 31788 2016-09-14
1497032239 Freds Stores of Tennessee Inc Pharmacy 2601 South Main Street, Moultrie, GA 31768 2011-11-08
1558427468 Hospital Pharmacy of Moultrie Inc Pharmacy 203 31st Ave Se, Moultrie, GA 31768-6703 2006-12-28
1295729861 South Georgia Pharmacy Services Inc Pharmacy 720 W Central Ave, Moultrie, GA 31768-3560 2005-09-09
1669937264 Colquitt County Hospital Authority Pharmacy 3131 S Main St, Moultrie, GA 31768-6925 2019-02-07
1801931555 Chancy Drugs Moultrie LLC Pharmacy 101 N Main St, Moultrie, GA 31768-3863 2007-02-20
1841393501 Georgia Cvs Pharmacy LLC Pharmacy 1027 S Main St, Moultrie, GA 31768-5438 2006-09-07

Providers in the same taxonomy and state

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
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Competitor

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City MOULTRIE
Zip Code 31788

Improve Information

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Dataset Information

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.

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