PUBLIX SUPER MARKETS INC (NPI# 1609375286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609375286 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1606 |
| Practice Address |
4701 S University Dr Davie FL 33328-3819 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 9544535348 |
| Practice Fax Number | 9543572971 |
| Mailing Telephone | 8636881188 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2019-12-02 |
| 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 | PH31329 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2176855 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1606 | 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 |
| 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 |
| 1962936476 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 5580 Woodbine Rd, Pace, FL 32571-8766 | 2017-04-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Publix Super Markets Inc. | 15720 Brixham Hill Avenue #300, Charlotte, NC 28277-4651 |
| Street Address |
4701 S UNIVERSITY DR |
| City | DAVIE |
| State | FL |
| Zip Code | 33328-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496708 | Venise Jacqueslouis | Behavior Technician | 8001 We 36th St, Suite 9, Davie, FL 33328 | 2019-09-17 |
| 1134780539 | 1st Nursing Care Services | Registered Nurse | 10335 Sw 50th Ct, Cooper City, FL 33328 | 2019-06-26 |
| 1023572245 | Rezan Tewolde | Pharmacist | 37772 Churchill Downs Drive, Davie, FL 33328 | 2019-01-23 |
| 1497237820 | Yasmeen Dahsheh | Behavior Technician | 8001 Sw 36th Street Suite #9, Davie, FL 33328 | 2018-09-01 |
| 1831686948 | Kristal Arias | Behavior Technician | 8001 Sw 36th Street, Suite #9, Davie, FL 33328 | 2018-04-16 |
| 1952810384 | April R Hardy | Behavior Technician | 8001 Sw 36 Street Suite 9, Davie, FL 33328 | 2017-09-28 |
| 1609391556 | Courtney M Talbert | Behavior Technician | 8001 Sw 36 St, Suite 9, Davie, FL 33328 | 2017-08-11 |
| 1639619349 | Remya Mathew | General Acute Care Hospital | 10030 Grove Ln, Cooper City, FL 33328 | 2017-02-28 |
| 1184161945 | Elizabeth Stabinski | Marriage & Family Therapist | 4900 South University Drive, Suite 200d, Davie, FL 33328 | 2017-01-31 |
| 1285097659 | Pandolfi Counseling Associates, Inc. | Social Worker | 5291 Sw 89th Ave, Cooper City, FL 33328 | 2016-04-01 |
| Find all providers in zip 33328 | ||||
| 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 |
|---|---|---|---|---|
| 1912413741 | Orange Tree Pharmacy Inc. | Pharmacy | 6191 Orange Dr Ste 6177, Davie, FL 33314-3450 | 2017-12-15 |
| 1851746283 | Wal-mart Stores East Lp | Pharmacy | 8550 Stirling Rd, Davie, FL 33024-8212 | 2016-05-04 |
| 1902142144 | Lpe Pharmacy LLC | Pharmacy | 4380 Oakes Rd, Suite 807, Davie, FL 33314-2238 | 2012-12-17 |
| 1215221593 | Martnicks Pharmacy & Discount Services Inc. | Pharmacy | 6783 Stirling Rd, Davie, FL 33314-7118 | 2011-06-04 |
| 1144524471 | F & J Pharmacy, Inc | Pharmacy | 6477 Stirling Rd, Davie, FL 33314-7126 | 2010-12-30 |
| 1710296132 | Symcare Inc | Pharmacy | 5779 South University Dr, Davie, FL 33328 | 2010-10-04 |
| 1164504460 | Ne-medical Supply Usa, Inc. | Pharmacy | 3811 Sw 47th Ave, Suite 629, Davie, FL 33314-2819 | 2006-10-19 |
| 1790889657 | Holiday Cvs LLC | Pharmacy | 2920 Sw 64th Ave, Davie, FL 33314-1601 | 2006-09-12 |
| 1316041213 | Holiday Cvs LLC | Pharmacy | 4610 S University Dr, Davie, FL 33328-3818 | 2006-09-12 |
| 1275643884 | Costco Wholesale Corporation | Pharmacy | 1890 S University Dr, Davie, FL 33324 | 2006-08-30 |
| Find all providers in DAVIE | ||||
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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.