PUBLIX SUPER MARKETS INC (NPI# 1730385600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730385600 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1104 |
| Practice Address |
926 S Military Trl West Palm Beach FL 33415-3910 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 5616163240 |
| Practice Fax Number | 5616163582 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2019-12-06 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH22829 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 032139700 | 05 | |
| PK | 2009396 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1104 | 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 |
926 S MILITARY TRL |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33415-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285175661 | Stefani Mandanici | Pharmacist | 926 S Military Trl, West Palm Beach, FL 33415-3910 | 2017-03-17 |
| 1295072155 | Duy Minh Huynh | Pharmacist | 926 S Military Trl, West Palm Beach, FL 33415-3910 | 2013-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670613 | Briana Howard | Social Worker | 631-sea Pine Way F2, Greenacres, FL 33415 | 2020-02-05 |
| 1023648821 | Belen Home Care | Assisted Living Facility | 4584 Sutton Terra South, West Palm Beach, FL 33415 | 2020-01-21 |
| 1013556315 | Titan Chiropractic & Rehab | Chiropractor | 655 N Military Trail Ste 9, West Palm Beach, FL 33415 | 2020-01-03 |
| 1467006916 | Bradley Martin | Student in an Organized Health Care Education/Training Program | 5189 Pine Abbey Drive South, West Palm Beach, FL 33415 | 2019-08-01 |
| 1508370131 | Lisa Palmieri | Physical Therapist | 5056 Wallis Rd, West Palm Beach, FL 33415 | 2017-11-17 |
| 1093233637 | Anay Piloto Garcia | Behavior Technician | 1851 W Chatham Rd, West Palm Beach, FL 33415 | 2017-09-05 |
| 1356897631 | Leida C Alarcon | Technician, Other | 2221 White Pine Cir Apt D, Greenacres, FL 33415 | 2016-08-28 |
| 1689061996 | Antonio Cruz | Physical Therapy Assistant | 2939 S Haverhill Road, Wpb, FL 33415 | 2015-04-24 |
| 1780019034 | Michele Thune | Nurse Practitioner | 942 Scott Dr, West Palm Beach, FL 33415 | 2013-09-05 |
| 1780017657 | Genesis Rehab Services | Skilled Nursing Facility | 6414 13th Rd. South, Woodlake, West Palm Beach, FL 33415 | 2013-08-15 |
| Find all providers in zip 33415 | ||||
| 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 |
|---|---|---|---|---|
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| 1003464132 | Linton Square Pharmacy North, LLC. | Pharmacy | 2580 Metrocentre Blvd Ste 5, West Palm Beach, FL 33407-3100 | 2019-09-02 |
| 1144874827 | Infinite Health Pharmacy LLC | Pharmacy | 416 Clematis St Ste B, West Palm Beach, FL 33401-5312 | 2019-07-30 |
| 1417470816 | Omrx,llc | Pharmacy | 4603 Okeechobee Blvd Ste 118, West Palm Beach, FL 33417-4636 | 2017-07-18 |
| 1841731726 | Progress Pharmacy Inc | Pharmacy | 8170 Okeechobee Blvd, Suite 5, West Palm Beach, FL 33411 | 2017-03-13 |
| 1104187822 | Green Apple Pharmacy Inc | Pharmacy | 4545 Forest Hill Blvd, Bay 3, West Palm Beach, FL 33415-9144 | 2012-05-30 |
| 1114164639 | Wal-mart Stores East Lp | Pharmacy | 4225 45th St, West Palm Beach, FL 33407-1919 | 2009-01-21 |
| 1639399462 | Health Care District of Palm Beach County | Pharmacy | 1150 45th St., West Palm Beach, FL 33407 | 2007-04-26 |
| 1932298619 | E & T Pharmacy LLC | Pharmacy | 3111 45th St Ste 3, West Palm Beach, FL 33407-1981 | 2006-10-12 |
| 1649374620 | Holiday Cvs LLC | Pharmacy | 1301 N Dixie Hwy, West Palm Beach, FL 33401-2703 | 2006-09-12 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33415 |
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.