PUBLIX TENNESSEE LLC (NPI# 1992111306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992111306 |
| Entity Type | Organization |
| Organization Name | PUBLIX TENNESSEE LLC |
| Other Organization Name | PUBLIX PHARMACY #1460 |
| Practice Address |
400 N Market St Chattanooga TN 37405-4433 |
| Mailing Address |
Po Box 639680 Cincinnati OH 45263-9680 |
| Practice Telephone | 4237557915 |
| Practice Fax Number | 4234856312 |
| Mailing Telephone | 8636881188 |
| Mailing Fax Number | 8636165846 |
| Enumeration Date | 2014-07-07 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5396 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2146839 | 01 |
| Other Name | Type Code |
|---|---|
| Publix Pharmacy #1460 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1235681081 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2315 E Andrew Johnson Hwy, Greeneville, TN 37745-0996 | 2016-10-27 |
| 1235547423 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2429 University Commons Way, Knoxville, TN 37916 | 2014-07-31 |
| 1588903439 | Publix Tennessee LLC | Pharmacy | 2324 Lebanon Pike, Nashville, TN 37214-2411 | 2013-02-12 |
| 1407103153 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 1490 Tiny Town Rd, Clarksville, TN 37042-7201 | 2012-08-13 |
| 1578825691 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2010 Town Center Blvd, Knoxville, TN 37922-6677 | 2012-06-14 |
| 1255638573 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7014 City Center Way, Fairview, TN 37062-6004 | 2011-02-23 |
| 1063729242 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2650 New Salem Hwy, Murfreesboro, TN 37128-5265 | 2010-09-09 |
| 1689992794 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 6614 Charlotte Pike, Nashville, TN 37209-4202 | 2010-05-13 |
| 1750610515 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 665 South Mt.juliet Rd., Mt. Juliet, TN 37122 | 2009-12-08 |
| Street Address |
400 N MARKET ST |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-4433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780025759 | Bailey Crick Bowman | Pharmacist | 400 N Market St, Chattanooga, TN 37405-3911 | 2013-07-08 |
| 1811507163 | Ashley Deanne Riner | Pharmacist | 400 N Market St, Chattanooga, TN 37405-4433 | 2020-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1093340333 | Dave Aitken | Chiropractor | 110 Woodland Ave., Chattanooga, TN 37405 | 2020-03-06 |
| 1285127944 | Kristin Stark | Marriage & Family Therapist | 1307 Hixson Pike, Chattanooga, TN 37405 | 2018-06-07 |
| 1205339033 | Ignite Chiropractic, LLC | Chiropractor | 200 Manufacturers Rd, Ste 210, Chattanooga, TN 37405 | 2018-03-18 |
| 1710486881 | Alexis Beasley Gaylor | Specialist/Technologist | 1185 Mountian Creek Road, Apt 405, Chattanooga, TN 37405 | 2018-02-05 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
| 1154876746 | Joan Stewart Mickles | Counselor | 9 Fairhills Drive, Chattanooga, TN 37405 | 2016-08-24 |
| 1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
| 1063814515 | Mcallister Personal Care Consultants | Home Health | 419 N. Market Street, Chattanooga, TN 37405 | 2014-09-16 |
| Find all providers in zip 37405 | ||||
| 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 |
|---|---|---|---|---|
| 1811522485 | On Site Rx Inc | Pharmacy | 3074 Hickory Valley Rd Bldg 229, Chattanooga, TN 37421-1273 | 2020-03-04 |
| 1073170718 | A Pharmacy LLC | Pharmacy | 4767 Hwy 58, Suite 101, Chattanooga, TN 37416 | 2019-05-28 |
| 1982952917 | Carestar Pharmacy | Pharmacy | 6106 Shallowford Rd Ste 108, Chattanooga, TN 37421-2280 | 2012-08-23 |
| 1548584634 | Eastside Pharmacy Inc | Pharmacy | 6857 Lee Hwy, Chattanooga, TN 37421-6406 | 2010-03-18 |
| 1538342076 | Ross Enterprise Inc | Pharmacy | 2001 E Third St Suite C, Chattanooga, TN 37404-2610 | 2007-12-06 |
| 1417095407 | Custom Compounding Pharmacy LLC | Pharmacy | 3816 Ringgold Rd, Chattanooga, TN 37412-1640 | 2007-02-02 |
| 1699831966 | Deems S Riddle IIi | Pharmacy | 4335 Ringgold Rd, Chattanooga, TN 37412-2740 | 2006-12-29 |
| 1952496804 | Pulmonaire Service Pharmacy, Inc. | Pharmacy | 821 Mccallie Ave, Chattanooga, TN 37403-2613 | 2006-10-04 |
| 1215030911 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5501 Brainerd Rd, Chattanooga, TN 37411-5309 | 2006-09-07 |
| 1306949003 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5011 State St # A, Chattanooga, TN 37407-3519 | 2006-09-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37405 |
Please comment or provide details below to improve the information on PUBLIX TENNESSEE LLC.
| 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.