PUBLIX SUPER MARKETS INC (NPI# 1760745061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760745061 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1405 |
| Practice Address |
501 Se 18th Ave Boynton Beach FL 33435-6949 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 5612924085 |
| Practice Fax Number | 5612490278 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2012-06-21 |
| 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 |
PH26235 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006316300 | 05 | |
| FL | 006316301 | 05 | |
| PK | 2135692 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1405 | 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 |
501 SE 18TH AVE |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-6949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245270628 | Publix Super Markets Inc | Pharmacy | 501 Se 18th Ave, Boynton Beach, FL 33435-6949 | 2006-06-07 |
| 1467964676 | Lillian Rose Navarro | Pharmacist | 501 Se 18th Ave, Boynton Beach, FL 33435-6949 | 2017-10-27 |
| 1750783478 | Charlotte Marie Lopez | Pharmacist | 501 Se 18th Ave, Boynton Beach, FL 33435-6949 | 2014-09-25 |
| 1225470891 | April N Pugh | Pharmacist | 501 Se 18th Ave, Boynton Beach, FL 33435-6949 | 2013-07-24 |
| 1538406483 | Gregory Stephen Presti | Pharmacist | 501 Se 18th Ave, Boynton Beach, FL 33435-6949 | 2013-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| 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 | 33435 |
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.