PUBLIX SUPER MARKETS INC (NPI# 1912156571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912156571 |
| Entity Type | Organization |
| Organization Name | PUBLIX SUPER MARKETS INC |
| Other Organization Name | PUBLIX PHARMACY #1216 |
| Practice Address |
3372 Canoe Creek Rd Saint Cloud FL 34772-6536 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 4079578060 |
| Practice Fax Number | 4079576590 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2020-01-03 |
| 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 | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH23586 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2117097 | 01 | |
| FL | 000537700 | 05 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1216 | 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 |
| Virginia Business Entities | Publix Super Markets Inc. | 3300 Publix Corporate Pkwy, Po Box 32027, Lakeland, Florida 33811 |
| Street Address |
3372 CANOE CREEK RD |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34772-6536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386981157 | Kumar Kanakapura | Pharmacist | 3372 Canoe Creek Rd, Saint Cloud, FL 34772-6536 | 2013-01-13 |
| 1972840023 | Waikit Lester Yu | Pharmacist | 3372 Canoe Creek Rd, Saint Cloud, FL 34772-6536 | 2013-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780110940 | Caitlin Smith | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2017-05-10 |
| 1073069787 | Yolimar Vazquez | Specialist/Technologist | 2332 Seven Oaks Dr, Saint Cloud, FL 34772 | 2016-09-01 |
| 1881041903 | Diana Barreto | Counselor | 4205 Cracker Ct, St.cloud, FL 34772 | 2016-05-18 |
| 1356713267 | Gilbert Saenz | Counselor | 4622 Mildred Bass Road, St. Cloud, FL 34772 | 2015-10-30 |
| 1841532025 | Origin Hospitality LLC | Assisted Living Facility | 2910 Old Canoe Creek Rd, Saint Cloud, FL 34772 | 2013-03-26 |
| 1912264037 | Mario Gregorio Rodriguez | Skilled Nursing Facility | 3056 Sandstone Circle, St Cloud, FL 34772 | 2012-04-13 |
| 1356479182 | Ramon Roman Jr. | Counselor | 3640 Doe Run Dr., St. Cloud, FL 34772 | 2007-03-01 |
| 1619451085 | Sunny Path Therapy | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2018-09-20 |
| 1154807329 | Brunella Denegri | Behavior Technician | 1300 Creekview Ct, Saint Cloud, FL 34772 | 2018-07-11 |
| 1720452436 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2301 Old Canoe Creek Rd, St. Cloud, FL 34772 | 2015-11-18 |
| Find all providers in zip 34772 | ||||
| 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 |
|---|---|---|---|---|
| 1487117792 | Costco Wholesale Corporation | Pharmacy | 3636 2nd St S, Saint Cloud, MN 56301-3732 | 2019-04-12 |
| 1235447723 | Walgreen Co | Pharmacy | 251 County Road 120 Ste 101, Saint Cloud, MN 56303-4886 | 2010-09-17 |
| 1396067468 | Coborns Inc | Pharmacy | 250 33rd Ave S, Saint Cloud, MN 56301-6131 | 2010-02-17 |
| 1750485660 | Holiday Cvs LLC | Pharmacy | 2101 13th St, Saint Cloud, FL 34769-4206 | 2006-09-12 |
| 1124122015 | Holiday Cvs LLC | Pharmacy | 3555 13th St, Saint Cloud, FL 34769-4054 | 2006-09-12 |
| 1326053638 | Walgreen Co | Pharmacy | 2505 W Division St, Saint Cloud, MN 56301-3837 | 2006-07-29 |
| 1689696361 | Grand St Paul Cvs LLC | Pharmacy | 4201 W Division St, Saint Cloud, MN 56301-6601 | 2006-07-24 |
| 1861036592 | Keshav Rx LLC | Pharmacy | 520 13th St, Saint Cloud, FL 34769-4531 | 2019-11-06 |
| 1205328663 | St.cloud Pharmacy&wellness Center | Pharmacy | 2801 13th St, Saint Cloud, FL 34769-4134 | 2018-06-01 |
| 1194897868 | Coborns Inc | Pharmacy | 2118 8th St N, Saint Cloud, MN 56303-6150 | 2006-11-15 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34772 |
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.