PUBLIX SUPER MARKETS, INC. (NPI# 1689109886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689109886 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS, INC. |
| Other Organization Name | PUBLIX PHARMACY #3220 |
| Practice Address |
620 10th St N Ste 101 St Petersburg FL 33705-1407 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 8636881188 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2020-10-15 |
| 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 | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #3220 | 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 |
| 1366075889 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5810 Seven Mile Drive, Wildwood, FL 34785 | 2020-02-13 |
| 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 |
| 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 |
620 10TH ST N STE 101 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| 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 |
|---|---|---|---|---|
| 1528610367 | Comprehensive Hematology Oncology LLC | Pharmacy | 5000 Park St N Ste 1025, St Petersburg, FL 33709-2236 | 2019-07-11 |
| 1902465917 | Prathna Inc | Pharmacy | 7601 Dr Martin Luther King Jr St N Ste C, St Petersburg, FL 33702-5200 | 2019-06-12 |
| 1043603665 | Baycare Urgent Care, LLC | Pharmacy | 2331 4th St N, St Petersburg, FL 33704-2801 | 2015-03-06 |
| 1265820807 | Pearl Shah LLC | Pharmacy | 6399 38th Ave N Ste A5, St Petersburg, FL 33710-1651 | 2015-01-06 |
| 1639415839 | Pharmalabs LLC | Pharmacy | 10901 Roosevelt Blvd N, St Petersburg, FL 33716-2305 | 2012-12-17 |
| 1962792531 | Bayfront Hma Medical Center Pharmacy | Pharmacy | 701 6th St. S., St Petersburg, FL 33701-4891 | 2011-04-15 |
| 1699095604 | Trillion Enterprises Inc | Pharmacy | 4130 5th Ave N, St Petersburg, FL 33713-6304 | 2010-06-02 |
| 1285872937 | Pharmland | Pharmacy | 3426 13th Ave N, St Petersburg, FL 33713-5424 | 2009-02-02 |
| 1871749671 | Lurd's Inc | Pharmacy | 401 1st Ave N, St Petersburg, FL 33701-3802 | 2008-08-12 |
| 1003933664 | Tri-med Usa, Inc | Pharmacy | 5779 49th St N, #2, St Petersburg, FL 33709-2107 | 2007-03-26 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
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.