PUBLIX SUPER MARKETS INC (NPI# 1972542819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972542819 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1187 |
| Practice Address |
2783 Elkcam Blvd Deltona FL 32738-3427 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 3867893786 |
| Practice Fax Number | 3867894938 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-06 |
| 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 |
PH12345 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 102267900 | 05 | |
| PK | 2011759 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1187 | 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 |
2783 ELKCAM BLVD |
| City | DELTONA |
| State | FL |
| Zip Code | 32738-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669897393 | Howard Freiman | Pharmacist | 2783 Elkcam Blvd, Deltona, FL 32738-3427 | 2014-03-05 |
| 1427395201 | Katie Marie Chokanis | Pharmacist | 2783 Elkcam Blvd, Deltona, FL 32738 | 2013-01-14 |
| 1972840742 | Jon L Payne | Pharmacist | 2783 Elkcam Blvd, Deltona, FL 32738-3427 | 2013-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626449 | Antoinette Pierce | Registered Nurse | 410 El Camino Dr, Deltona, FL 32738 | 2018-07-21 |
| 1184120776 | Gray Group L.L.C. | Behavioral Analyst | 637 Spreading Oak Ave, Deltona, FL 32738 | 2018-04-02 |
| 1689074080 | Leah Jacob | Student in an Organized Health Care Education/Training Program | 4150 Eastgate Dr, Apt 7308, Orlando, FL 32738 | 2014-09-04 |
| 1912320383 | Right Spirit Homecare,inc | Residential Treatment Facility, Physical Disabilities | 3368 Merchant Ter, Deltona, FL 32738 | 2014-01-21 |
| 1427377720 | Sonia Rivera | Occupational Therapy Assistant | 2278 Banister Street, Deltona, FL 32738 | 2010-05-26 |
| 1750546313 | Northeast Florida Health Services, Inc. | Family Medicine | 2160 Howland Blvd Ste 110, Deltona, FL 32738 | 2008-07-23 |
| 1083741672 | Wal-mart Stores East, L.p | Technician/Technologist | 101 Howland Blvd., Deltona, FL 32738 | 2007-02-28 |
| 1801923644 | Yvonne Green | Adult Companion | 2816 W Huron Drive, Agency for Persons With Disabilities, Deltona, FL 32738 | 2007-02-28 |
| 1508900572 | Eudelisa Cubela | Technician | 3335 Hyder Ave, Deltona, FL 32738 | 2007-02-16 |
| 1942356324 | Steven J Smith | Dentist | 1382 Howland Boulevard, Suite 104, Deltona, FL 32738 | 2007-01-26 |
| Find all providers in zip 32738 | ||||
| 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 |
|---|---|---|---|---|
| 1922635424 | Kailashrx LLC | Pharmacy | 1240 Providence Blvd Ste 1, Deltona, FL 32725-7352 | 2020-03-25 |
| 1982052361 | Jjdrug Co | Pharmacy | 1240 Providence Blvd Ste 2, Deltona, FL 32725-7352 | 2016-05-26 |
| 1366546343 | Holiday Cvs LLC | Pharmacy | 2187 Howland Blvd, Deltona, FL 32738-3441 | 2006-09-12 |
| 1720182637 | Holiday Cvs LLC | Pharmacy | 1250 Providence Blvd, Deltona, FL 32725-7300 | 2006-09-12 |
| 1134664527 | Choice Meds Usa, Inc. | Pharmacy | 1857 Providence Blvd, Deltona, FL 32725-3811 | 2016-12-21 |
| 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 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
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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.