PUBLIX SUPER MARKETS INC (NPI# 1770822728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770822728 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1435 |
| Practice Address |
3330 Inner Perimeter Rd Valdosta GA 31602-7063 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 2296719840 |
| Practice Fax Number | 2292694422 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2013-02-12 |
| 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 |
PHRE009900 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2138924 | 01 | |
| GA | 003132345A | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1435 | 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 |
3330 INNER PERIMETER RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-7063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265779102 | Shannon Renee Knight | Pharmacist | 3330 Inner Perimeter Rd, Valdosta, GA 31602 | 2013-01-11 |
| 1417502428 | Mary Elizabeth Finch | Pharmacist | 3330 Inner Perimeter Rd, Valdosta, GA 31602-7063 | 2019-08-06 |
| 1336621010 | Carrie Shae Revels | Pharmacist | 3330 Inner Perimeter Rd, Valdosta, GA 31602-7063 | 2018-08-30 |
| 1225551005 | Meghan Ann Collins | Pharmacist | 3330 Inner Perimeter Rd, Valdosta, GA 31602-7063 | 2017-07-24 |
| 1245785633 | Amanda Frederiksen | Pharmacist | 3330 Inner Perimeter Rd, Valdosta, GA 31602-7063 | 2016-08-16 |
| 1184024382 | Christina Duckworth | Pharmacist | 3330 Inner Perimeter Rd, Valdosta, GA 31602-7063 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| 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 |
|---|---|---|---|---|
| 1588125785 | K & D Pharmacy Inc | Pharmacy | 19664 Valdosta Hwy Ste A, Valdosta, GA 31602-8300 | 2019-03-29 |
| 1598812984 | Merchant Home Medical Services,llc | Pharmacy | 105 W Central Ave, Valdosta, GA 31601-5508 | 2007-01-05 |
| 1023171295 | Bethel Drug Company | Pharmacy | 2921 N Ashley St, Valdosta, GA 31602-1725 | 2006-12-19 |
| 1124100912 | First America Pharmacy Inc | Pharmacy | 3782 Old Us Highway 41 N, Suite B, Valdosta, GA 31602-6834 | 2006-10-20 |
| 1437252269 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 2205 N Ashley St, Valdosta, GA 31602-2621 | 2006-09-07 |
| 1205841418 | Walgreen Co | Pharmacy | 2815 N Ashley St, Valdosta, GA 31602-1806 | 2006-07-29 |
| 1518440403 | South Albany Pharmacy, LLC | Pharmacy | 2111 Bemiss Rd, Valdosta, GA 31602-1940 | 2018-09-07 |
| 1083132484 | Valdosta State University | Pharmacy | 200 Georgia Ave, Valdosta, GA 31698-3843 | 2017-09-06 |
| 1295252336 | Bethel Drug Company | Pharmacy | 2921 N Ashley St, Valdosta, GA 31602-1725 | 2017-08-29 |
| 1225431745 | Winnersville Pharmacy LLC | Pharmacy | 3782 Old Us Highway 41 N, Suite B, Valdosta, GA 31602-6834 | 2014-09-29 |
| Find all providers in VALDOSTA | ||||
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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.