PUBLIX SUPER MARKETS INC (NPI# 1629017538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629017538 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0483 |
| Practice Address |
1575 Old Trolley Rd Summerville SC 29485-8208 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 8438320557 |
| Practice Fax Number | 8438324237 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-06 |
| 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 | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
50003018 | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 730182 | 05 | |
| PK | 2090660 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0483 | 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 |
1575 OLD TROLLEY RD |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647439 | Lauren Johnson | Pharmacist | 1575 Old Trolley Rd, Summerville, SC 29485-8208 | 2020-10-20 |
| 1083092985 | Michael Unks | Pharmacist | 1575 Old Trolley Rd, Summerville, SC 29485-8208 | 2015-05-12 |
| 1366788572 | Connie Susan Owens | Pharmacist | 1575 Old Trolley Rd, Summerville, SC 29485-8208 | 2012-12-14 |
| 1356686968 | Frank Gary Polizzi | Pharmacist | 1575 Old Trolley Rd, Summerville, SC 29485-8208 | 2012-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| 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 |
|---|---|---|---|---|
| 1033745112 | Charleston Oncology, Pa | Pharmacy | 300 Callen Blvd Ste 110, Summerville, SC 29486-2809 | 2020-03-20 |
| 1306498944 | Ladson Pharmacy LLC | Pharmacy | 4550 Ladson Rd Ste 6, Summerville, SC 29485-8531 | 2019-07-14 |
| 1306370556 | Rx Choice II LLC | Pharmacy | 9881 Commerce St Ste A, Summerville, GA 30747-1300 | 2017-04-14 |
| 1043641020 | Harris Teeter LLC | Pharmacy | 9500 Dorchester Rd, Summerville, SC 29485-8651 | 2013-12-02 |
| 1649588195 | Johnson Rx Inc | Pharmacy | 9848 Rome Blvd, Summerville, GA 30747-1586 | 2010-09-17 |
| 1730369752 | Ledford Rx Express Inc | Pharmacy | 103 Highway 48, Summerville, GA 30747-1506 | 2007-11-07 |
| 1306949060 | Georgia Cvs Pharmacy LLC | Pharmacy | 9849 Rome Blvd, Summerville, GA 30747-1585 | 2006-09-07 |
| 1558378505 | Walgreen Co | Pharmacy | 54 Old Trolley Rd, Summerville, SC 29485-4904 | 2006-08-02 |
| 1376558460 | Walgreen Co | Pharmacy | 9998 Dorchester Rd, Summerville, SC 29485-8529 | 2006-07-29 |
| 1184640369 | Jackson Drug Co., Inc | Pharmacy | 10077 Commerce St, Summerville, GA 30747-1356 | 2006-07-14 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.