PUBLIX SUPER MARKETS INC (NPI# 1124062708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124062708 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0721 |
| Practice Address |
4305 State Bridge Rd Alpharetta GA 30022-4471 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 7707517997 |
| Practice Fax Number | 7707517999 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-11-20 |
| 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 |
PHRE008331 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2020223 | 01 | |
| GA | 00839924A | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0721 | 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 |
4305 STATE BRIDGE RD |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-4471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679039036 | Michele Wolfe | Pharmacist | 4305 State Bridge Rd, Alpharetta, GA 30022-4471 | 2019-02-11 |
| 1487055976 | Publix Pharmacy | Pharmacy | 4305 State Bridge Rd, Alpharetta, GA 30022-4471 | 2014-09-16 |
| 1972942530 | Pana Ninan | Pharmacist | 4305 State Bridge Rd, Alpharetta, GA 30022-4471 | 2013-06-17 |
| 1124365994 | Katherine H Patterson | Pharmacist | 4305 State Bridge Rd, Alpharetta, GA 30022-4471 | 2013-01-13 |
| 1538406467 | Margaret Cottingham Brand | Pharmacist | 4305 State Bridge Rd, Alpharetta, GA 30022-4471 | 2013-01-11 |
| 1609106863 | Jennifer J Rohner | Pharmacist | 4305 State Bridge Rd, Alpharetta, GA 30022-4471 | 2010-01-11 |
| 1811159304 | Janet M Frey | Nurse Practitioner | 4305 State Bridge Rd, Alpharetta, GA 30022-4471 | 2008-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| 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 |
|---|---|---|---|---|
| 1912388588 | North Fulton Pharmacy LLC | Pharmacy | 501 S Main St Ste 103, Alpharetta, GA 30009-1975 | 2015-06-09 |
| 1760763015 | Walgreens | Pharmacy | 455 Wakefield Trce, Alpharetta, GA 30004-0890 | 2011-08-31 |
| 1356583470 | Precision Compounding Pharmacy LLC | Pharmacy | 1805 Hembree Rd, Ste C, Alpharetta, GA 30009-2075 | 2009-04-03 |
| 1285731778 | Georgia Cvs Pharmacy LLC | Pharmacy | 10710 State Bridge Rd, Alpharetta, GA 30022-6007 | 2006-09-19 |
| 1720182652 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 184 N Main St, Alpharetta, GA 30009-3623 | 2006-09-12 |
| 1891899712 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 8430 Holcomb Bridge Rd, Alpharetta, GA 30022-5317 | 2006-09-12 |
| 1194828962 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 11625 Jones Bridge Rd, Alpharetta, GA 30005-2539 | 2006-09-07 |
| 1609986215 | Costco Wholesale Corporation | Pharmacy | 2855 Jordan Ct, Alpharetta, GA 30004 | 2006-08-30 |
| 1750398749 | Walgreen Co | Pharmacy | 5510 Windward Pkwy, Alpharetta, GA 30004-3889 | 2006-08-02 |
| 1093722076 | Walgreen Co | Pharmacy | 3003 Old Alabama Rd, Alpharetta, GA 30022-8594 | 2006-08-02 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
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.