PUBLIX SUPER MARKETS INC (NPI# 1831397447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831397447 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1169 |
| Practice Address |
1075 Oakleaf Plantation Pkwy Ste 200 Orange Park FL 32065-3624 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 9042915203 |
| Practice Fax Number | 9042915651 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2019-12-06 |
| 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 |
PH22866 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 032157500 | 05 | |
| PK | 2009499 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1169 | 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 |
1075 OAKLEAF PLANTATION PKWY STE 200 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32065-3624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306399126 | Laelisha Patton | Nurse Practitioner | 1075 Oakleaf Plantation Pkwy, #108, Orange Park, FL 32065-3624 | 2016-07-28 |
| 1740658954 | Tiffany Mcclain | Nurse Practitioner | 1075 Oakleaf Plantation Pkwy, Ste 108, Orange Park, FL 32065-3624 | 2015-09-03 |
| 1053658898 | Sabrina Kay Robinson | Pharmacist | 1075 Oakleaf Plantation Pkwy, Ste 200, Orange Park, FL 32065-3624 | 2013-01-14 |
| 1649517657 | Teresa Marie Ponder | Pharmacist | 1075 Oakleaf Plantation Pkwy, Ste 200, Orange Park, FL 32065-3624 | 2013-01-10 |
| 1427359371 | Judy E Groutt Groover | Nurse Practitioner | 1075 Oakleaf Plantation Pkwy, Suite 108, Orange Park, FL 32065-3624 | 2010-11-09 |
| 1942481429 | Family First Primary Care Pa | Clinic/Center | 1075 Oakleaf Plantation Pkwy, Suite 108, Orange Park, FL 32065-3624 | 2007-11-26 |
| 1093913212 | Allison Dasta Butler | Family Medicine | 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065-3624 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
| 1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
| 1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
| 1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
| 1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
| 1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
| 1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
| 1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
| 1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
| 1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
| Find all providers in zip 32065 | ||||
| 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 |
|---|---|---|---|---|
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1649513482 | Orange Park Pharmacy Inc. | Pharmacy | 1992 Kingsley Ave, Orange Park, FL 32073-4442 | 2013-03-29 |
| 1912001991 | Holiday Cvs LLC | Pharmacy | 1551 County Road 220, Orange Park, FL 32003-7926 | 2006-09-12 |
| 1508105677 | Topical Rx Pharmacy, LLC | Pharmacy | 1536 Kingsley Ave, #118, Orange Park, FL 32073-4587 | 2013-02-08 |
| 1841578556 | The Smart Group, LLC | Pharmacy | 2300 Park Ave, Suite 100, Orange Park, FL 32073-5571 | 2011-07-29 |
| 1730385253 | Atkinson's Mart Pharmacy | Pharmacy | 1994a Kingsley Ave, Orange Park, FL 32073-4442 | 2007-06-22 |
| 1366597015 | Pointe Med Pharmacy, Inc. | Pharmacy | 1996 Kingsley Ave, Orange Park, FL 32073-4442 | 2007-01-24 |
| 1508959297 | Seton Pharmacy Inc | Pharmacy | 2300 Park Avenue, Suite 100, Orange Park, FL 32073-5572 | 2006-10-02 |
| 1649285826 | Walgreen Co | Pharmacy | 1565 County Road 220, Orange Park, FL 32003-7945 | 2006-07-29 |
| 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 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| 1790303394 | White Tip Pharmacy LLC | Pharmacy | 411 S Federal Hwy Ste D, Deerfield Beach, FL 33441-4170 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32065 |
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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.