PUBLIX SUPER MARKETS INC (NPI# 1699209114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699209114 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1562 |
| Practice Address |
200 Island Way Clearwater FL 33767-2228 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 7273733675 |
| Practice Fax Number | 7274755080 |
| Mailing Telephone | 8636881188 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2019-12-03 |
| 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 | PH31003 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 023102200 | 05 | |
| FL | 023102201 | 05 | |
| PK | 2171158 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1562 | Other Name - Individual/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 |
200 ISLAND WAY |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33767-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912244088 | Margaret Kay Wilkinson | Pharmacist | 200 Island Way, Clearwater, FL 33767-2228 | 2013-01-09 |
| 1205289261 | Barbara Poulos | Pharmacist | 200 Island Way, Publix #104, Clearwater, FL 33767-1934 | 2016-07-14 |
| 1962749911 | Tracy Jordan Bertke | Pharmacist | 200 Island Way, Clearwater, FL 33767-2228 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942777867 | Ramona Fatima Santos | Pharmacist | 31 Island Way, Apt 604, Clearwater Beach, FL 33767 | 2018-10-29 |
| 1831475912 | Brittney Johnson | Behavioral Analyst | 1351 Gulf Blvd Apt 212, Clearwater, FL 33767 | 2011-11-02 |
| 1902078553 | Nick V Faklis | Dentist | 251 Windward Passage, Suite H, Clearwater, FL 33767 | 2008-03-24 |
| 1417072364 | Douglas F Welpton | Psychiatry & Neurology | 1007 Bay Esplanade, Clearwater, FL 33767-1019 | 2007-03-20 |
| 1851399778 | Robert Louis Drapkin | Internal Medicine | 1003 Bay Esplanade, Clearwater, FL 33767-1019 | 2005-07-13 |
| 1528002037 | Maria Elizabeth Van Bemmel | Physical Therapist | 875 Lantana Ave, Clearwater Beach, FL 33767-1125 | 2006-06-15 |
| 1346225166 | Richard Marvin Slone | Radiology | 840 Bay Esplanade, Clearwater Beach, FL 33767-1301 | 2005-12-14 |
| 1346510724 | Thomas Deal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 Eldorado Ave, Clearwater, FL 33767-1312 | 2012-01-03 |
| 1659634145 | James Keene Brennan | Internal Medicine | 743 Eldorado Ave, Clearwater, FL 33767-1421 | 2012-06-19 |
| 1245779156 | Raymond Grey Grimm | Specialist | 741 Lantana Ave, Clearwater Beach, FL 33767-1427 | 2017-02-13 |
| Find all providers in zip 33767 | ||||
| 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 |
|---|---|---|---|---|
| 1285272815 | Gastro Florida Pharmacy, LLC | Pharmacy | 3001 Executive Drive, Suite 130, Clearwater, FL 33762 | 2019-12-13 |
| 1407418809 | Marlene Shaker | Pharmacy | 1590 N Mcmullen Booth Rd Ste K4, Clearwater, FL 33759-2544 | 2019-07-05 |
| 1841749520 | Invotex LLC | Pharmacy | 28821 Us Highway 19 N, Clearwater, FL 33761-2583 | 2016-09-23 |
| 1194185512 | Quier Pharmacy LLC | Pharmacy | 130 E Ross St Ste 111, Clearwater, KS 67026-7833 | 2016-02-26 |
| 1891168589 | Baycare Urgent Care, LLC | Pharmacy | 3351 N Mcmullen Booth Rd., Clearwater, FL 33761-2014 | 2015-11-04 |
| 1164864039 | J&k Care LLC | Pharmacy | 756 N Belcher Rd, Clearwater, FL 33765-2138 | 2013-07-21 |
| 1831458868 | St Luke Pharmacy Corp | Pharmacy | 2019 Gulf To Bay Blvd, Clearwater, FL 33765-3703 | 2012-05-11 |
| 1982764197 | Bales Pharmacy, Inc. | Pharmacy | 116 East Ross St, Clearwater, KS 67026-7821 | 2006-12-11 |
| 1801990882 | Holiday Cvs LLC | Pharmacy | 1 S Missouri Ave, Clearwater, FL 33756-5760 | 2006-09-12 |
| 1487758330 | Holiday Cvs LLC | Pharmacy | 3765 Ulmerton Rd, Clearwater, FL 33762-4209 | 2006-09-12 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33767 |
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.