PUBLIX SUPER MARKETS INC. (NPI# 1710255658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710255658 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC. |
| Other Organization Name | PUBLIX PHARMACY #1396 |
| Practice Address |
7880 Winter Garden Vineland Rd Windermere FL 34786-5689 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 4078760417 |
| Practice Fax Number | 4078760444 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2011-12-07 |
| 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 | PH25796 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2132949 | 01 | |
| FL | 004512600 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1396 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457629396 | Publix Super Markets Inc. | Pharmacy | 135 Bradley Pl, Palm Beach, FL 33480-3819 | 2011-12-07 |
| 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 |
7880 WINTER GARDEN VINELAND RD |
| City | WINDERMERE |
| State | FL |
| Zip Code | 34786-5689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659905099 | Kangana Dharmendra Patel | Pharmacist | 7880 Winter Garden Vineland Rd, Windermere, FL 34786-5689 | 2020-02-25 |
| 1225375181 | Carmen Jones | Pharmacist | 7880 Winter Garden Vineland Rd, Windermere, FL 34786-5689 | 2013-01-12 |
| 1275870313 | Theary Liu | Pharmacist | 7880 Winter Garden Vineland Rd, Windermere, FL 34786-5689 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719859 | Chain of Lakes Dental Pa | Dentist | 1805 Maguire Road, Suite 159, Windermere, FL 34786 | 2020-01-15 |
| 1417518481 | Ohri, LLC | Clinic/Center | 5151 Winter Garden Vineland Road., Suite 104, Windermere, FL 34786 | 2019-06-21 |
| 1801351234 | Mindful Living of Central Florida, LLC | Counselor | 9300 Windermere Conroy Rd, Suite 3284, Windermere, FL 34786 | 2019-02-11 |
| 1326536566 | Lori H Isaacs-hoar | Nurse Practitioner | 4903 Woodbreeze Ct, Windermere, FL 34786 | 2018-04-24 |
| 1134645179 | Miriam Elizabeth Zapata | Nurse Practitioner | 13767 Amelia Pond Drive, Windermere, FL 34786 | 2017-08-22 |
| 1740702158 | Comfortable Care Denta Health Professionals, Pa | Dentist | 11625 Lachlan Lane, Windermere, FL 34786 | 2017-07-07 |
| 1356877674 | Melany Rossy | Counselor | 9300 Conroy Windermere Road, Suite 3284, Windermere, FL 34786 | 2017-05-05 |
| 1548678998 | Moema Arruda | Dentist | 4769 The Grove Drive, #118, Windermere, FL 34786 | 2014-07-29 |
| 1376981605 | Lauren Elise Singrossi | Counselor | 625 Main Street #23c, Windermere, FL 34786 | 2013-06-09 |
| 1003174970 | Comfortable Care Dental Health Professionals | Dentist | 7828 Winter Garden Vineland Road, Suite 128, Windermere, FL 34786 | 2012-04-30 |
| Find all providers in zip 34786 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | WINDERMERE |
| Zip Code | 34786 |
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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.