PUBLIX SUPER MARKETS INC (NPI# 1710926720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710926720 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #0330 |
| Practice Address |
4860 Davis Blvd Naples FL 34104-5337 |
| Mailing Address |
Po Box 116181 Atlanta GA 30368-6181 |
| Practice Telephone | 2394176630 |
| Practice Fax Number | 2394176634 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-10-11 |
| Authorized Official Name | DALE HOUSTON (MANAGER OF MANAGED CARE) |
| Authorized Official Telephone | 8636881188 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH0020003 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2007456 | 01 | |
| FL | 026977800 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #0330 | 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 |
4860 DAVIS BLVD |
| City | NAPLES |
| State | FL |
| Zip Code | 34104-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870709 | Mitchell Berman | Pharmacist | 4860 Davis Blvd, Naples, FL 34104-5337 | 2019-03-12 |
| 1144646399 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 4860 Davis Blvd, Naples, FL 34104-5337 | 2014-03-12 |
| 1285971119 | Nancy Bove | Pharmacist | 4860 Davis Blvd, Naples, FL 34104-5337 | 2013-01-11 |
| 1073850038 | Keli Rosal | Pharmacist | 4860 Davis Blvd, Naples, FL 34104-5337 | 2013-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393940 | Teresa Mary Furnari | Physical Therapy Assistant | Terracina Grand, 6824 Davis Blvd, Naples, FL 34104 | 2019-05-29 |
| 1205311305 | Terracina IIi, LLC | Skilled Nursing Facility | 6869 Davis Boulevard, Naples, FL 34104 | 2018-09-25 |
| 1942793302 | Priscila Pena | Technician, Other | 190 Manor Blvd Apt 1013, Naples, FL 34104 | 2018-06-11 |
| 1942792924 | Lorinda Jeanne Roy | Behavior Technician | 2675 Horseshoe Lane, Suite 404, Naples, FL 34104 | 2018-06-05 |
| 1669960613 | Sherry Lynn Francis | Behavior Technician | 723 Coldstream Ct, Naples, FL 34104 | 2018-04-25 |
| 1871049445 | James Eric Ashley | Social Worker | 2286 River Reach Drive, Naples, FL 34104 | 2016-09-01 |
| 1689944134 | Pamala K Bartz Halaschak | Pharmacist | 7301 Radio Rd., Naples, FL 34104 | 2011-12-30 |
| 1922303304 | Milissa A. Yeagley | Behavioral Analyst | 2675 Horseshoe Dr S Ste 404, Naples, FL 34104 | 2011-01-17 |
| 1003066291 | David Guy Malen | Psychiatry & Neurology | 4100 Corporate Square, 21, Naples, FL 34104 | 2008-09-24 |
| 1821129297 | Center for Behavioral Healthcare Pa | Psychologist | 3227 S Horseshoe Drive, Suite 101, Naples, FL 34104 | 2007-03-08 |
| Find all providers in zip 34104 | ||||
| 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 |
|---|---|---|---|---|
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1225516040 | Arnav Inc | Pharmacy | 11556 Tamiami Trl E, Naples, FL 34113 | 2018-08-02 |
| 1134605025 | Holiday Cvs LLC | Pharmacy | 13400 Immokalee Rd, Naples, FL 34120 | 2018-07-14 |
| 1902329840 | Elite Retail Pharmacy, Inc. | Pharmacy | 840 111th Ave N Ste 7, Naples, FL 34108-1868 | 2017-07-23 |
| 1487184404 | 4u Pharmacyonline | Pharmacy | 217 Airport Pulling Rd S, Naples, FL 34104-3531 | 2017-06-13 |
| 1518415827 | Usrx Pharmacy LLC | Pharmacy | 11121 Health Park Blvd Ste 700, Naples, FL 34110-5740 | 2016-09-15 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1205239068 | Wal-mart Stores Texas LLC | Pharmacy | 504 Wl Doc Dodson E, Naples, TX 75568-6371 | 2014-10-07 |
| 1447661814 | Pruetts Food Inc | Pharmacy | 410 W.l. Doc Dodson West, Naples, TX 75568 | 2014-05-19 |
| 1124463583 | Olde Time Pharmacy, LLC | Pharmacy | 4766 Golden Gate Pkwy, Unit 5, Naples, FL 34116-6984 | 2013-04-29 |
| Find all providers in NAPLES | ||||
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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.