PUBLIX SUPER MARKETS INC (NPI# 1871805440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871805440 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1296 |
| Practice Address |
13390 Perdido Key Dr Pensacola FL 32507-4631 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 8504925095 |
| Practice Fax Number | 8504925108 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2010-07-12 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH24774 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002670000 | 05 | |
| PK | 2125750 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1296 | 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 |
13390 PERDIDO KEY DR |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32507-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670411 | Mary Elizabeth Anna Crabtree | Pharmacist | 13390 Perdido Key Dr, Pensacola, FL 32507-4631 | 2020-08-20 |
| 1033630686 | Johnathan Patrick Jernigan | Pharmacist | 13390 Perdido Key Dr, Pensacola, FL 32507-4631 | 2017-07-05 |
| 1558813139 | Justin Lafrance | Pharmacist | 13390 Perdido Key Dr, Pensacola, FL 32507-4631 | 2016-10-28 |
| 1730506486 | Alvin Grady Lumpkin | Pharmacist | 13390 Perdido Key Dr, Pensacola, FL 32507-4631 | 2014-03-19 |
| 1215274188 | Paul V Pham | Pharmacist | 13390 Perdido Key Dr, Pensacola, FL 32507-4631 | 2013-01-11 |
| 1942547005 | Dianne Watson | Pharmacist | 13390 Perdido Key Dr, Pensacola, FL 32507-4631 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538725163 | Rachel Lynn Cain | Social Worker | Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 | 2019-05-20 |
| 1710489562 | Erika Ruth Atkins | Developmental Therapist | 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 | 2018-03-07 |
| 1013431600 | Megan Wohlers | Optometrist | 12591 Sorrento Rd Ste B, Pensacola, FL 32507 | 2017-07-26 |
| 1568834182 | Kalia Belessis | Behavioral Analyst | 30 S. 3rd Street, Pensacola, FL 32507 | 2015-10-22 |
| 1245677327 | Pensacola Imaging, LLC | Radiology | 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 | 2013-05-29 |
| 1518301696 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 | 2013-04-19 |
| 1851528764 | Xin Wei | Internal Medicine | 6000 West Highway 98, Apo, AP 32507 | 2009-06-18 |
| 1205033842 | Lori Lynn Douglass | Day Training, Developmentally Disabled Services | 4711 Huron Dr, Pensacola, FL 32507 | 2007-06-28 |
| 1346461985 | Jennifer Ann Sculley | Pharmacist | 13019 Sorrento Road, Pensacola, FL 32507 | 2007-05-01 |
| 1528183704 | Al M Ridlehoover | Dentist | 302 W Sunset Ave, Pensacola, FL 32507 | 2007-03-20 |
| Find all providers in zip 32507 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922415140 | Physician Specialty Pharmacy LLC | Pharmacy | 6258 N W St, Pensacola, FL 32505-1903 | 2014-07-21 |
| 1457417347 | Andersons Thrif-t Drugs Inc | Pharmacy | 4350 Bayou Blvd, Pensacola, FL 32503-1948 | 2006-12-28 |
| 1245342179 | Marando Inc | Pharmacy | 5507 N W St, Pensacola, FL 32505-2435 | 2006-08-31 |
| 1922113125 | Brunos Inc | Pharmacy | 3 W Nine Mile Rd, Pensacola, FL 32534-1279 | 2006-08-20 |
| 1841221959 | K Mart Corp | Pharmacy | 4211 Mobile Hwy, Pensacola, FL 32506-4205 | 2006-07-06 |
| 1750327219 | Rx Advantage Inc | Pharmacy | 2256 W Nine Mile Rd Ste B, Pensacola, FL 32534-9471 | 2006-06-22 |
| 1568409993 | Albertsons LLC | Pharmacy | 5055 N 9th Ave, Pensacola, FL 32504-8719 | 2006-06-02 |
| 1811934342 | Albertsons LLC | Pharmacy | 5998 Mobile Hwy, Pensacola, FL 32526-1873 | 2006-06-01 |
| 1760429435 | Albertsons LLC | Pharmacy | 2180 W Nine Mile Rd, Pensacola, FL 32534-9472 | 2006-06-01 |
| 1063459519 | Albertsons LLC | Pharmacy | 9251 University Pkwy, Pensacola, FL 32514-5531 | 2006-06-01 |
| Find all providers in PENSACOLA | ||||
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.