PUBLIX SUPER MARKETS INC (NPI# 1447290887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447290887 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0012 |
| Practice Address |
600 N University Dr Pembroke Pines FL 33024-6731 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 9544334408 |
| Practice Fax Number | 9544358304 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2019-11-15 |
| 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 |
PH0011571 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2010965 | 01 | |
| FL | 101131600 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0012 | 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 |
600 N UNIVERSITY DR |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-6731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750995940 | Tiffany Ann Fernandez | Pharmacist | 600 N University Dr, Pembroke Pines, FL 33024-6731 | 2020-09-03 |
| 1245841568 | Natalie Sharmela Soomdat | Pharmacist | 600 N University Dr, Pembroke Pines, FL 33024-6731 | 2020-08-11 |
| 1891203816 | Mackenzy Colton Volmy | Pharmacist | 600 N University Dr, Pembroke Pines, FL 33024-6731 | 2018-01-11 |
| 1659789956 | Alyssa Ann Porcelli | Pharmacist | 600 N University Dr, Pembroke Pines, FL 33024-6731 | 2014-07-30 |
| 1427492529 | Ashlee Ann Pena | Pharmacist | 600 N University Dr, Pembroke Pines, FL 33024-6731 | 2013-04-19 |
| 1255679007 | Noe Junior Grados | Pharmacist | 600 N University Dr, Pembroke Pines, FL 33024-6731 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| 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 |
|---|---|---|---|---|
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1063069607 | Easyscripts LLC | Pharmacy | 1500 S Hiatus Rd, Pembroke Pines, FL 33025-3617 | 2019-08-19 |
| 1730731449 | Physician Family Pharmacy Corp | Pharmacy | 9716 Pines Blvd, Pembroke Pines, FL 33024-6228 | 2019-07-12 |
| 1255787313 | Links Pharmacy and Discount Inc | Pharmacy | 7131 Pembroke Road, Pembroke Pines, FL 33023 | 2016-05-09 |
| 1205281458 | Lincoln Pharmacy LLC | Pharmacy | 21011 Johnson St, Suite# 126, Pembroke Pines, FL 33029-1913 | 2016-04-25 |
| 1649635178 | Pharm-aid LLC | Pharmacy | 12117 Pembroke Rd, Pembroke Pines, FL 33025-1727 | 2015-12-29 |
| 1275909327 | Taft Street Pharmacy | Pharmacy | 7750 Taft St, Pembroke Pines, FL 33024-5271 | 2015-08-12 |
| 1861873119 | Pharmacorp Lameiro Inc | Pharmacy | 9155 Taft St, Pembroke Pines, FL 33024-4652 | 2015-06-12 |
| 1033463542 | Elite Care Pharmacy Corp | Pharmacy | 19112 Nw 23rd Ct, Pembroke Pines, FL 33029-5335 | 2012-11-06 |
| 1811269574 | Goodpill Pharmacy, Inc | Pharmacy | 17177 Pines Blvd, Pembroke Pines, FL 33027-1091 | 2012-01-27 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
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.