PUBLIX SUPER MARKETS INC (NPI# 1760422182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760422182 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0470 |
| Practice Address |
370 Bullsboro Dr Newnan GA 30263-1069 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 7705021142 |
| Practice Fax Number | 7705021224 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-07 |
| 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 |
PHRE007717 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00596186A | 05 | |
| PK | 2018788 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0470 | 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 |
370 BULLSBORO DR |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115396 | Harry Joseph Burg IIi | Pharmacist | 370 Bullsboro Dr, Newnan, GA 30263-1069 | 2020-02-11 |
| 1992172209 | William Lewis | Pharmacist | 370 Bullsboro Dr, Newnan, GA 30263-1069 | 2015-08-24 |
| 1346659430 | Tara Spooner | Pharmacist | 370 Bullsboro Dr, Newnan, GA 30263-1069 | 2014-08-04 |
| 1265779847 | Kimberly Heather Toole | Pharmacist | 370 Bullsboro Dr, Newnan, GA 30263-1069 | 2013-01-15 |
| 1376880203 | John Stephen Griffin | Pharmacist | 370 Bullsboro Dr, Newnan, GA 30263-1069 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| 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 |
|---|---|---|---|---|
| 1396383444 | Senoia Drug Co Inc. | Pharmacy | 2080 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2558 | 2019-12-18 |
| 1710492137 | Bhumika Patel | Pharmacy | 101a Greison Trl, Newnan, GA 30263-1442 | 2017-12-07 |
| 1760534010 | Thompson's Pharmacy, Inc. | Pharmacy | 134 Millard Farmer Industrial Blvd, Newnan, GA 30263 | 2007-01-17 |
| 1447357934 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 2305 Hwy 34 East, Newnan, GA 30265 | 2006-09-19 |
| 1245333087 | Georgia Cvs Pharmacy LLC | Pharmacy | 239 Temple Ave, Newnan, GA 30263-1368 | 2006-09-07 |
| 1295779577 | Walgreen Co | Pharmacy | 1 Farmer Industrial Blvd, Newnan, GA 30263-1078 | 2006-06-16 |
| 1083213904 | Jin Hyuk Seo | Pharmacy | 1751 Newnan Crossing Blvd E, Newnan, GA 30265-1517 | 2020-10-21 |
| 1073143202 | Tarpley Drug Company | Pharmacy | 40 Hospital Rd, Newnan, GA 30263-1201 | 2020-01-15 |
| 1609412584 | Leech Pharmacy, LLC | Pharmacy | 18 Cavender St, Newnan, GA 30263-1932 | 2019-11-26 |
| 1730602343 | Walgreen Co | Pharmacy | 3055 Highway 34 E, Newnan, GA 30265-2179 | 2017-07-25 |
| Find all providers in NEWNAN | ||||
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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.