PUBLIX SUPER MARKETS, INC. (NPI# 1366075889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366075889 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS, INC. |
| Other Organization Name | PUBLIX PHARMACY #1705 |
| Practice Address |
5810 Seven Mile Drive Wildwood FL 34785 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 3524615094 |
| Practice Fax Number | 3523990247 |
| Mailing Telephone | 8636881188 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-08-14 |
| 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 |
Suppliers |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1705 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215560107 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 501 N Beneva Rd Ste 161, Sarasota, FL 34232-1301 | 2020-02-19 |
| 1770116642 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 303 N Clyde Morris Blvd Ste 1001, Daytona Beach, FL 32114-2709 | 2020-02-19 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1366074239 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 14323 S Us Highway 301, Wimauma, FL 33598-2039 | 2020-02-10 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
| 1891330940 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 700 N. Miramar Avenue, Indialantic, FL 32903 | 2019-11-13 |
| 1336784966 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5581 Thomaston Rd, Macon, GA 31220-8119 | 2019-11-07 |
| 1649814211 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 601 Nw 2nd Ave, Miami, FL 33136-3942 | 2019-11-06 |
| 1730723305 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 675 Longwood Hills Rd Unit 1001, Longwood, FL 32750-3335 | 2019-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Publix Super Markets, Inc. | 3300 Publix Corporate Parkway, Lakeland, FL 33811 |
| Iowa Business Entities | PUBLIX SUPER MARKETS, INC. | 3300 Publix Corporate Parkway, Lakeland, FL 33811 |
| New York State Corporations | PUBLIX SUPER MARKETS, INC. | 600 Mamaroneck Avenue, Suite 400, Harrison, New York 10528 |
| Washington State Corporations | PUBLIX SUPER MARKETS, INC. | 3300 Publix Corporate Pkwy, Lakeland, FL 33811-3311 |
| Oregon Corporations, Companies and Business Names | PUBLIX SUPER MARKETS, INC. | 3300 Publix Corporate Pkwy, Lakeland, FL 33811 |
| Street Address |
5810 SEVEN MILE DRIVE |
| City | WILDWOOD |
| State | FL |
| Zip Code | 34785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183903 | Central Florida Premier Eye Associates | Optometrist | 5431 East State Road 44, Wildwood, FL 34785 | 2020-01-23 |
| 1174006399 | Village Discount Pharmacy | Pharmacy | 3990 E St 44 Suite 207, E Sr44 Suite 207, Wildwood, FL 34785 | 2018-09-13 |
| 1033582333 | Mls Homemaker/companion Service | In Home Supportive Care | 1406 County Road 228, Wildwood, FL 34785 | 2015-11-09 |
| 1225412604 | Safe Haven Assisted Living Facility, Inc | Respite Care | 2505 East Orange Ave., Eustis, FL 34785 | 2015-07-15 |
| 1477894343 | Kristen Jillene Hopper | Social Worker | 901 Industrial Dr, Wildwood, FL 34785 | 2013-03-02 |
| 1588632210 | Elaine E. Moorman | Nurse Practitioner | 411 N. Webster Street, Wildwood, FL 34785 | 2006-03-09 |
| 1134782501 | German Santiago Herrera Alzate | Physician Assistant | 846 Ne 54th Terrace, Widlwood, FL 34785 | 2019-04-20 |
| 1912492919 | Van Mai Vu | Optometrist | 846 Ne 54th Terrace, Wildwood, FL 34785 | 2018-06-22 |
| 1881720084 | Pedro Arroyo IIi | Surgery | 837 S Main St, Wildwood, FL 34785 | 2007-02-24 |
| 1760672364 | Alfonzo L Jacobs | Military Health Care Provider | 707 Moss St, Wildwood, FL 34785-0932 | 2007-07-30 |
| Find all providers in zip 34785 | ||||
| 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 |
|---|---|---|---|---|
| 1174006399 | Village Discount Pharmacy | Pharmacy | 3990 E St 44 Suite 207, E Sr44 Suite 207, Wildwood, FL 34785 | 2018-09-13 |
| 1639428048 | Rissan Inc | Pharmacy | 342 Shopping Center Dr, Wildwood, FL 34785-4533 | 2012-08-30 |
| 1023242609 | Walgreen Co | Pharmacy | 5000 Park Blvd, Wildwood, NJ 08260 | 2009-05-11 |
| 1013009612 | New Jersey Cvs Pharmacy LLC | Pharmacy | 5100 Park Blvd, Wildwood, NJ 08260-1455 | 2006-09-29 |
| 1164946943 | Walgreen Co | Pharmacy | 4201 Atlantic Ave, Wildwood, NJ 08260-4601 | 2017-08-02 |
| 1003339037 | Walgreen Co | Pharmacy | 3400 New Jersey Ave, Wildwood, NJ 08260-6116 | 2017-07-21 |
| 1093058265 | Wildwood Sanitarium Incorporated | Pharmacy | 435 Life Style Ln, Wildwood, GA 30757-4174 | 2013-04-05 |
| 1033213921 | Holiday Cvs LLC | Pharmacy | 901 S Main St, Wildwood, FL 34785-5316 | 2006-09-12 |
| 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.