PUBLIX SUPER MARKETS, INC. (NPI# 1659523363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659523363 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS, INC. |
| Other Organization Name | PUBLIX PHARMACY #1313 |
| Practice Address |
2381 W State Road 434 Longwood FL 32779-4984 |
| Practice Telephone | 4078625414 |
| Practice Fax Number | 4078625898 |
| Mailing Telephone | 4078625414 |
| Mailing Fax Number | 4078625898 |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2009-04-03 |
| Authorized Official Name | FRED OTTOLINO (VP OF PHARMACY) |
| Authorized Official Telephone | 8636881188 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000731800 | 05 | |
| FL | FLORIDA MEDICAID DME NUMBER | 000731801 | 01 |
| NCPDP | 1038757 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1313 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215560107 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 501 N Beneva Rd Ste 161, Sarasota, FL 34232-1301 | 2020-02-19 |
| 1770116642 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 303 N Clyde Morris Blvd Ste 1001, Daytona Beach, FL 32114-2709 | 2020-02-19 |
| 1366075889 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5810 Seven Mile Drive, Wildwood, FL 34785 | 2020-02-13 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1366074239 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 14323 S Us Highway 301, Wimauma, FL 33598-2039 | 2020-02-10 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
| 1891330940 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 700 N. Miramar Avenue, Indialantic, FL 32903 | 2019-11-13 |
| 1336784966 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5581 Thomaston Rd, Macon, GA 31220-8119 | 2019-11-07 |
| 1649814211 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 601 Nw 2nd Ave, Miami, FL 33136-3942 | 2019-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Publix Super Markets, Inc. | 3300 Publix Corporate Parkway, Lakeland, FL 33811 |
| Iowa Business Entities | PUBLIX SUPER MARKETS, INC. | 3300 Publix Corporate Parkway, Lakeland, FL 33811 |
| New York State Corporations | PUBLIX SUPER MARKETS, INC. | 600 Mamaroneck Avenue, Suite 400, Harrison, New York 10528 |
| Washington State Corporations | PUBLIX SUPER MARKETS, INC. | 3300 Publix Corporate Pkwy, Lakeland, FL 33811-3311 |
| Oregon Corporations, Companies and Business Names | PUBLIX SUPER MARKETS, INC. | 3300 Publix Corporate Pkwy, Lakeland, FL 33811 |
| Street Address |
2381 W STATE ROAD 434 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32779-4984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025257 | Albertsons LLC | Pharmacy | 2381 W State Road 434, Longwood, FL 32779-4984 | 2006-06-01 |
| 1225511892 | Melissa Castillo | Pharmacist | 2381 W State Road 434, Longwood, FL 32779-4984 | 2018-09-10 |
| 1811325707 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2381 W State Road 434, Longwood, FL 32779-4984 | 2013-10-31 |
| 1306281035 | Chi Duong | Pharmacist | 2381 W State Road 434, Longwood, FL 32779-4984 | 2013-05-08 |
| 1043364953 | Julie A Povlick | Pharmacist | 2381 W State Road 434, Longwood, FL 32779-4984 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268854 | Erin Nicole Marsh | Speech-Language Pathologist | 2957 W State Rd. 434 Suite 100, Longwood, FL 32779 | 2020-02-23 |
| 1902443294 | Melanie Lynn Milner | Chiropractor | 2160 West S.r. 434, Unit 108, Longwood, FL 32779 | 2019-12-05 |
| 1538723440 | Darby Anne Santora | Speech-Language Pathologist | 2957 W 434 State Road, #100, Longwood, FL 32779 | 2019-04-25 |
| 1508336645 | Lashawnda L Richmond | Counselor | 207 Briar Cliff Dr, Longwood, FL 32779 | 2018-12-02 |
| 1992275598 | The Center of Life Counseling, LLC | Clinic/Center | 300 N. Ronald Reagan Blvd. #302, Longwood, FL 32779 | 2018-11-27 |
| 1770052508 | Megan Elizabeth Runyan | Speech-Language Pathologist | 1511 Suzanne Way, Longwood, FL 32779 | 2018-11-22 |
| 1003398447 | Neha Patel | Physical Therapist | 500 Village Place, Longwood, FL 32779 | 2018-09-01 |
| 1487146122 | Wai Acupuncture & Integrative Chinese Medicine LLC | Acupuncturist | 2901 West S.r. 434, Suite 141, Longwood, FL 32779 | 2018-05-30 |
| 1396130217 | Alison Marie Nasuti | Occupational Therapy Assistant | 2989 Wsr 434, Suite 200, Longwood, FL 32779 | 2015-03-30 |
| 1346646288 | Abby Louise Hertel | Speech-Language Pathologist | 2917 W State Road 434, Longwood, FL 32779 | 2014-11-04 |
| Find all providers in zip 32779 | ||||
| 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 |
|---|---|---|---|---|
| 1255435145 | Holiday Cvs LLC | Pharmacy | 130 E State Road 434, Longwood, FL 32750-5214 | 2006-09-12 |
| 1164526067 | Holiday Cvs LLC | Pharmacy | 3905 Wekiva Springs Rd, Longwood, FL 32779-3364 | 2006-09-12 |
| 1629006291 | Leavitt Pharmacy, LLC | Pharmacy | 187 Sabal Palm Dr, Suite 102, Longwood, FL 32779-2595 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| 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.