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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2164497 | 01 | |
GA | 003182546A | 05 |
Other Name | Type Code |
---|---|
Publix Pharmacy #1540 | 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 |
378 VETERANS PKWY N |
City | MOULTRIE |
State | GA |
Zip Code | 31788-4171 |
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 |
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 |
Find all providers in zip 31788 |
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 |
---|---|---|---|---|
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 |
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 |
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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.