PUBLIX SUPER MARKETS INC (NPI# 1124068895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124068895 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1150 |
| Practice Address |
415 21st St Vero Beach FL 32960-5455 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 7725620541 |
| Practice Fax Number | 7725620789 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-08 |
| 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 |
PH0015982 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2011555 | 01 | |
| FL | 106390100 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1150 | 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 |
415 21ST ST |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-5455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440037 | Catherine Reilly | Pharmacist | 415 21st St, Vero Beach, FL 32960-5455 | 2017-11-15 |
| 1154719052 | Maha Tadrous | Pharmacist | 415 21st St, Vero Beach, FL 32960-5455 | 2014-12-30 |
| 1346648524 | Matthew Landry | Pharmacist | 415 21st St, Vero Beach, FL 32960-5455 | 2014-12-20 |
| 1083951685 | Kristina Dimicco | Pharmacist | 415 21st St, Vero Beach, FL 32960-5455 | 2013-01-16 |
| 1881931558 | Katalin Jenkins | Pharmacist | 415 21st St, Vero Beach, FL 32960-5455 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| 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 |
|---|---|---|---|---|
| 1801239272 | Vero Pharmacy Inc | Pharmacy | 1635 14th Av, Vero Beach, FL 32960 | 2013-04-16 |
| 1053616771 | My Pharmacy Rx Fl LLC | Pharmacy | 616 21st St, Vero Beach, FL 32960-0951 | 2011-01-12 |
| 1225133051 | Holiday Cvs LLC | Pharmacy | 8495 S Federal Hwy, Vero Beach, FL 32967 | 2006-09-14 |
| 1902900988 | Holiday Cvs LLC | Pharmacy | 4215 9th St Sw, Vero Beach, FL 32968-4806 | 2006-09-12 |
| 1548364441 | Holiday Cvs LLC | Pharmacy | 5052 Highway A1a, Vero Beach, FL 32963-1272 | 2006-09-12 |
| 1750485736 | Holiday Cvs LLC | Pharmacy | 1706 Us Highway 1, Vero Beach, FL 32960-5545 | 2006-09-12 |
| 1003823089 | Walgreen Co | Pharmacy | 1705 Us Highway 1, Vero Beach, FL 32960-5544 | 2006-08-02 |
| 1891206157 | Vero Pharmacy Inc | Pharmacy | 1635 14th Ave, Vero Beach, FL 32960-0435 | 2017-10-13 |
| 1821406042 | Medical Hotspots, Inc | Pharmacy | 780 Us Highway 1, Suite 101, Vero Beach, FL 32962-1660 | 2014-07-31 |
| 1225180722 | Indian River Pharmacy, Inc. | Pharmacy | 3721 10th Ct, Vero Beach, FL 32960-6559 | 2007-01-17 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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.