PUBLIX ALABAMA LLC (NPI# 1417996471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417996471 |
| Entity Type | Organization |
| Organization Name | PUBLIX ALABAMA LLC |
| Other Organization Name | PUBLIX PHARMACY #0045 |
| Practice Address |
1605 Beltline Rd Sw Decatur AL 35601-5591 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 2563016411 |
| Practice Fax Number | 2563015593 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-05 |
| 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 |
112465 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1995317 | 01 | |
| AL | 100003553 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0045 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174088983 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 7129 Wall Triana Highway, Madison, AL 35757 | 2019-02-06 |
| 1962985499 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 21 Shell Street, Saraland, AL 36571-6181 | 2018-09-11 |
| 1336641893 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2286 Zierdt Rd Sw, Huntsville, AL 35824-1904 | 2018-03-01 |
| 1508378845 | Publix Alabama LLC | Pharmacy | 1660 Old Monrovia Rd Nw, Huntsville, AL 35806-1544 | 2017-10-26 |
| 1063924397 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 | 2017-10-26 |
| 1801346283 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1147 Us Hwy 231 South, Troy, AL 36081 | 2016-10-10 |
| 1942754403 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 230 20th St S, Birmingham, AL 35233-2022 | 2016-08-12 |
| 1538511274 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 3220 Woodward Ave, Muscle Shoals, AL 35661-3322 | 2016-07-06 |
| 1023489390 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 128 E Grand Ave, Rainbow City, AL 35906-6252 | 2015-10-13 |
| 1437527462 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1104 Cullman Shopping Ctr Nw, Cullman, AL 35055-2855 | 2015-09-08 |
| Street Address |
1605 BELTLINE RD SW |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-5591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851815914 | Randi Fawn Boyd | Pharmacist | 1605 Beltline Rd Sw, Decatur, AL 35601-5591 | 2017-07-31 |
| 1184007346 | Kristen Clemons | Pharmacist | 1605 Beltline Rd Sw, Decatur, AL 35601-5591 | 2015-07-07 |
| 1154737096 | Hannah Smith Terry | Pharmacist | 1605 Beltline Rd Sw, Decatur, AL 35601-5591 | 2014-07-10 |
| 1598002420 | Wendy Marie Osteen | Pharmacist | 1605 Beltline Rd Sw, Decatur, AL 35601-5591 | 2013-01-11 |
| 1013254945 | Megan Anna Couts | Pharmacist | 1605 Beltline Rd Sw, Decatur, AL 35601-5591 | 2013-01-11 |
| 1376880401 | Morgan Suzanne Stinson | Pharmacist | 1605 Beltline Rd Sw, Decatur, AL 35601 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| 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 |
|---|---|---|---|---|
| 1316565963 | Allen Specialty Pharmacy, Inc | Pharmacy | 1816 S Fm 51 Ste 1600, Decatur, TX 76234-3665 | 2020-07-10 |
| 1801441860 | Rite Care Pharmacy | Pharmacy | 1996 Candler Rd, Decatur, GA 30032-4225 | 2019-08-07 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1730605734 | Ganesha Rx Care Group 2, LLC | Pharmacy | 2801 N Decatur Rd Ste 130, Decatur, GA 30033-5949 | 2017-08-21 |
| 1255853784 | Anchor Rx Pharmacy | Pharmacy | 2139 Lawrenceville Hwy, Decatur, GA 30033-4321 | 2017-07-17 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1508106121 | Murks Village Market Inc | Pharmacy | 108b East Delaware Street, Decatur, MI 49045 | 2013-02-19 |
| 1902162548 | Apothecary Sales Inc | Pharmacy | 3220 Highway 31 S Ste A2, Decatur, AL 35603-1731 | 2012-04-09 |
| 1760780233 | Rite Aid | Pharmacy | 1526 6th Av. Se, Decatur, AL 35601-4561 | 2011-03-08 |
| 1285943829 | Victory Pharmacy | Pharmacy | 2280 E William St, Decatur, IL 62521-1528 | 2010-09-30 |
| Find all providers in DECATUR | ||||
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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.