PUBLIX TENNESSEE LLC (NPI# 1992954598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992954598 |
| Entity Type | Organization |
| Organization Name | PUBLIX TENNESSEE LLC |
| Other Organization Name | PUBLIX PHARMACY #1238 |
| Practice Address |
1640 Lee Victory Pkwy Smyrna TN 37167-6529 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 6152239264 |
| Practice Fax Number | 6152239269 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2020-01-03 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
4557 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2117099 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1238 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1235681081 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2315 E Andrew Johnson Hwy, Greeneville, TN 37745-0996 | 2016-10-27 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1588903439 | Publix Tennessee LLC | Pharmacy | 2324 Lebanon Pike, Nashville, TN 37214-2411 | 2013-02-12 |
| 1407103153 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 1490 Tiny Town Rd, Clarksville, TN 37042-7201 | 2012-08-13 |
| 1578825691 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2010 Town Center Blvd, Knoxville, TN 37922-6677 | 2012-06-14 |
| 1255638573 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7014 City Center Way, Fairview, TN 37062-6004 | 2011-02-23 |
| 1063729242 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2650 New Salem Hwy, Murfreesboro, TN 37128-5265 | 2010-09-09 |
| 1689992794 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 6614 Charlotte Pike, Nashville, TN 37209-4202 | 2010-05-13 |
| 1750610515 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 665 South Mt.juliet Rd., Mt. Juliet, TN 37122 | 2009-12-08 |
| Street Address |
1640 LEE VICTORY PKWY |
| City | SMYRNA |
| State | TN |
| Zip Code | 37167-6529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861554982 | Paul N Bridges Jr. | Pharmacist | 1640 Lee Victory Pkwy, Smyrna, TN 37167-6529 | 2006-12-14 |
| 1730709908 | Romany Ayoub | Pharmacist | 1640 Lee Victory Pkwy, Smyrna, TN 37167-6529 | 2020-04-17 |
| 1699012559 | Chipta Mulyana Anerin | Pharmacist | 1640 Lee Victory Pkwy, Smyrna, TN 37167-6529 | 2013-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708864 | Results-ast Jv, LLC | Physical Therapist | 741 Presidents Place, Suite 130, Smyrna, TN 37167 | 2020-10-21 |
| 1659834455 | Jemima Mensah | Nurse Practitioner | 433 Nissan Dr Ste 301, Smyrna, TN 37167 | 2019-04-09 |
| 1538645395 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 111 Movie Row, Smyrna, TN 37167 | 2018-07-16 |
| 1932699915 | Jessica Jones | Physical Therapist | 8414, 1173 Rock Springs Rd, Suite 105, Smyrna, TN 37167 | 2018-05-15 |
| 1962920256 | Faithful Horizons Support Services, Inc. | Respite Care | 204 Spirit Hill Circle, Smyrna, TN 37167 | 2017-09-06 |
| 1386185270 | Marie Murphy | Counselor | 695 President Place, Ste 202, Smyrna, TN 37167 | 2017-03-13 |
| 1932556990 | Tamara Tucker | Social Worker | 680 Windellwood Circle, Smyrna, TN 37167 | 2016-05-19 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1669840211 | Smyrna Modern Dentistry, PC | Dentist | 160 Movie Row, Smyrna, TN 37167 | 2015-09-11 |
| 1548636970 | Hometown Respiratory Consultants Inc | Durable Medical Equipment & Medical Supplies | 13181 Old Nashville Hwy Ste 120, Smyrna, TN 37167 | 2015-08-19 |
| Find all providers in zip 37167 | ||||
| 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 |
|---|---|---|---|---|
| 1568027084 | Focus Pharmacy | Pharmacy | 117 E Glenwood Ave, Smyrna, DE 19977-1424 | 2019-05-09 |
| 1508362310 | Value Pharmacy LLC | Pharmacy | 1400 Hazelwood Dr, Smyrna, TN 37167-3954 | 2018-04-02 |
| 1295242477 | Ajueyitsi Holdings Inc | Pharmacy | 579 Concord Rd Se Ste 400, Smyrna, GA 30082-2627 | 2018-01-09 |
| 1982954095 | Peachtree Pharmacy & Medical Supply, Inc. | Pharmacy | 579 Concord Rd Se Ste 900, Smyrna, GA 30082-2739 | 2012-09-17 |
| 1962688986 | Tennessee Cvs Pharmacy LLC | Pharmacy | 803 Industrial Blvd, Smyrna, TN 37167-6865 | 2008-01-22 |
| 1164526091 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 4345 S Cobb Dr Se, Smyrna, GA 30080-6331 | 2006-09-12 |
| 1952312597 | Vina Pharmacy | Pharmacy | 969 Windy Hill Rd Se, Ste N, Smyrna, GA 30080-2003 | 2006-08-10 |
| 1366459372 | Walgreen Co | Pharmacy | 806 Nissan Dr, Smyrna, TN 37167-4447 | 2006-08-02 |
| 1902813983 | Walgreen Co | Pharmacy | 2670 Cobb Pkwy Se, Smyrna, GA 30080-3014 | 2006-08-02 |
| 1356367932 | Walgreen Co | Pharmacy | 700 Jimmy Dr, Smyrna, DE 19977-5806 | 2006-07-15 |
| Find all providers in SMYRNA | ||||
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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.