PUBLIX SUPER MARKETS INC (NPI# 1609817105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609817105 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0442 |
| Practice Address |
851 S State Road 434 Altamonte Springs FL 32714-4811 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 4075221105 |
| Practice Fax Number | 4075221110 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-11-21 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH0019014 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 025552100 | 05 | |
| PK | 2015315 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0442 | 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 |
851 S STATE ROAD 434 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32714-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780225920 | Ramy Morcos | Pharmacist | 851 S State Road 434, Altamonte Springs, FL 32714-4811 | 2019-09-30 |
| 1144634973 | District Chiropractic & Wellness Center, Inc. | Chiropractor | 851 S State Road 434, Suite 1200, Altamonte Springs, FL 32714-4811 | 2014-06-19 |
| 1154668721 | Kyle Lamm | Pharmacist | 851 S State Road 434, Altamonte Springs, FL 32714-4811 | 2013-01-15 |
| 1396082152 | Michael Joseph Murphy | Pharmacist | 851 S State Road 434, Altamonte Springs, FL 32714-4811 | 2013-01-12 |
| 1972840916 | Latchmi Singh | Pharmacist | 851 S State Road 434, Altamonte Springs, FL 32714-4811 | 2013-01-10 |
| 1376781237 | Kristy Kottwitz | Chiropractor | 851 S State Road 434, Suite 1200, Altamonte Springs, FL 32714-4811 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207173 | Juliana Cruz | Massage Therapist | 627 Dory Ln Unit.104, Altamonte Springs, FL 32714 | 2020-08-26 |
| 1376178699 | Nicole Diemond Segur | Counselor | 11100 Douglas Avenue, Suite 2040, Altamonte Springs, FL 32714 | 2020-03-06 |
| 1821647033 | Kayla Padilla | Student in an Organized Health Care Education/Training Program | 418 San Sebastian Prado, Altamonte Springs, FL 32714 | 2019-09-10 |
| 1750846077 | Brandi Loverich Ligon | Nurse Practitioner | 519 Baywood Ct, Altamonte Springs, FL 32714 | 2019-02-01 |
| 1831674902 | Eunice Eunjin Pyon | Optometrist | 886 W Fl-436, Altamonte Springs, FL 32714 | 2018-09-25 |
| 1619474251 | A Path To Change Counseling, LLC | Counselor | 221 Frontage Road Suite A, Clermont, FL 32714 | 2018-04-10 |
| 1225556889 | Rosen Medical Center, Inc. | Family Medicine | 7656 International Drive, Orlando, FL 32714 | 2017-09-05 |
| 1932629920 | Antonio Arias | Acupuncturist | 140 N. Westmonte Drive, Suite 100, Altamonte Springs, FL 32714 | 2017-06-21 |
| 1619406030 | Alexander Ruiz | Physical Therapy Assistant | 1348 Sassafras Ave, Altamonte Springs, FL 32714 | 2017-06-08 |
| 1912446386 | Kioanna Branker | Community Health Worker | 697 Ashford Oaks Dr Apt 203, Altamonte Springs, FL 32714 | 2017-02-18 |
| Find all providers in zip 32714 | ||||
| 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 |
|---|---|---|---|---|
| 1750945960 | Shri Nakoda LLC | Pharmacy | 600 E Altamonte Dr Ste 1400, Altamonte Springs, FL 32701-4829 | 2019-04-24 |
| 1922569508 | Adventist Health System- Sunbelt Inc Adventhealth Orlando | Pharmacy | 661 E Altamonte Drive Ste 116, Altamonte Springs, FL 32701 | 2019-03-27 |
| 1902162506 | Sorkins Rx Ltd. | Pharmacy | 251 Maitland Ave Ste 107, Altamonte Springs, FL 32701-4913 | 2012-04-09 |
| 1083824122 | Pharmacy Specialists of Central Florida | Pharmacy | 393 Maitland Ave, Altamonte Springs, FL 32701-5450 | 2007-05-23 |
| 1831293745 | Holiday Cvs LLC | Pharmacy | 1401 Dutch Elm Dr, Altamonte Springs, FL 32714-1200 | 2006-09-12 |
| 1710097324 | Costco Wholesale Corporation | Pharmacy | 741 Orange Ave, Altamonte Springs, FL 32714 | 2006-08-30 |
| 1306851597 | Walgreen Co | Pharmacy | 855 W State Rd 436, Altamonte Springs, FL 32714-3005 | 2006-07-29 |
| 1508932732 | Innovative Nursing Management, Inc | Pharmacy | 499 E Central Pkwy, Suite 100, Altamonte Springs, FL 32701-3402 | 2006-11-28 |
| 1942304837 | Holiday Cvs, L.L.C. | Pharmacy | 221 S State Road 434, Altamonte Springs, FL 32714-3801 | 2006-09-12 |
| 1104831395 | Walgreen Co | Pharmacy | 113 Maitland Ave, Altamonte Springs, FL 32701-4901 | 2006-07-29 |
| Find all providers in ALTAMONTE SPRINGS | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32714 |
Please comment or provide details below to improve the information on PUBLIX SUPER MARKETS INC.
| 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.