PUBLIX SUPER MARKETS, INC. (NPI# 1770116642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770116642 |
Entity Type | Organization |
Organization Name | PUBLIX SUPER MARKETS, INC. |
Other Organization Name | PUBLIX PHARMACY #3223 |
Practice Address |
303 N Clyde Morris Blvd Ste 1001 Daytona Beach FL 32114-2709 |
Mailing Address |
Po Box 407 Lakeland FL 33802-0407 |
Practice Telephone | 3862656020 |
Practice Fax Number | 3862714712 |
Mailing Telephone | 8636881188 |
Enumeration Date | 2020-02-19 |
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 #3223 | 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 |
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 |
1730723305 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 675 Longwood Hills Rd Unit 1001, Longwood, FL 32750-3335 | 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 |
303 N CLYDE MORRIS BLVD STE 1001 |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-2709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427665728 | Erin Nicole Grey | Pharmacist | 303 N Clyde Morris Blvd Ste 1001, Daytona Beach, FL 32114-2709 | 2020-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
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 |
---|---|---|---|---|
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1972983880 | Jtj Medical Supply, Inc. | Pharmacy | 1435 Dunn Ave Ste 102, Daytona Beach, FL 32114-1434 | 2015-06-05 |
1154621308 | Zms 1 LLC | Pharmacy | 948 Orange Ave, Daytona Beach, FL 32114-4668 | 2010-10-21 |
1043392830 | Holiday Cvs LLC | Pharmacy | 1891 Lpga Blvd, Daytona Beach, FL 32117-7108 | 2006-10-20 |
1760589253 | Holiday Cvs LLC | Pharmacy | 1350 Belville Rd, Daytona Beach, FL 32114 | 2006-09-19 |
1023023207 | Walgreen Co | Pharmacy | 2679 N Atlantic Ave, Daytona Beach, FL 32118-3205 | 2006-07-29 |
1487150009 | Rural Health Care, Inc. | Pharmacy | 1425 Dunn Ave, Daytona Beach, FL 32114-1437 | 2018-04-03 |
1508066739 | Prescription Shoppes LLC | Pharmacy | 864 Orange Ave, Daytona Beach, FL 32114-4770 | 2007-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32114 |
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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.