PUBLIX SUPER MARKETS INC (NPI# 1699714642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699714642 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1424 |
| Practice Address |
4770 N Congress Ave Boynton Beach FL 33426-7952 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 5619696645 |
| Practice Fax Number | 5619697548 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-12-03 |
| 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 | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH0016736 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2012417 | 01 | |
| FL | 021531700 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1424 | 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 |
4770 N CONGRESS AVE |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-7952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164117 | Daniel Richter | Pharmacist | 4770 N Congress Ave, Boynton Beach, FL 33426-7952 | 2017-10-09 |
| 1366789174 | Earl Bostain | Pharmacist | 4770 N Congress Ave, Boynton Beach, FL 33426-7952 | 2013-01-14 |
| 1467799437 | Daryl Cooper | Pharmacist | 4770 N Congress Ave, Boynton Beach, FL 33426-7952 | 2013-01-11 |
| 1518098896 | Alan Lewin | Pharmacist | 4770 N Congress Ave, Boynton Beach, FL 33426-7952 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| 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 |
|---|---|---|---|---|
| 1437493038 | Wal-mart Stores East Lp | Pharmacy | 9840 S Military Trl, Boynton Beach, FL 33436-3201 | 2012-11-20 |
| 1114281177 | Scripts for Life, Inc | Pharmacy | 1403 W Boynton Beach Blvd Ste 1, Boynton Beach, FL 33426-3470 | 2012-06-25 |
| 1134435951 | Pharmacy Partners | Pharmacy | 901 N Congress Ave Ste B101, Boynton Beach, FL 33426-3317 | 2010-08-31 |
| 1346344207 | Holiday Cvs LLC | Pharmacy | 10074 Jog Rd, Boynton Beach, FL 33437-3528 | 2006-09-12 |
| 1437253317 | Holiday Cvs LLC | Pharmacy | 12080 S Jog Rd, Boynton Beach, FL 33437-4150 | 2006-09-12 |
| 1164526034 | Holiday Cvs LLC | Pharmacy | 301 N Federal Hwy, Boynton Beach, FL 33435-4118 | 2006-09-12 |
| 1457455347 | Holiday Cvs LLC | Pharmacy | 131 N Congress Ave, Boynton Beach, FL 33426-4209 | 2006-09-12 |
| 1740384726 | Holiday Cvs LLC | Pharmacy | 1895 N Congress Ave, Boynton Beach, FL 33426-8203 | 2006-09-12 |
| 1285738104 | Holiday Cvs LLC | Pharmacy | 12750 S Military Trl, Boynton Beach, FL 33436-6139 | 2006-09-12 |
| 1720093909 | Walgreen Co | Pharmacy | 10951 S Jog Rd, Boynton Beach, FL 33437-3921 | 2006-07-29 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
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.