National Provider Identifier Database

PUBLIX SUPER MARKETS INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

PUBLIX SUPER MARKETS INC
1455 SR 436, UNIT 221
CASSELBERRY, FL32707
Phone: 407-673-0788
Fax: 407-673-0987
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for PUBLIX SUPER MARKETS INC

NPI Number 1013233402
Legal business name
LBN
PUBLIX SUPER MARKETS INC
Authorized official DAIN RUSK - (VP PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 04/12/2010
Last updated 12/06/2019 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PH24561
  • FL Medicaid: 002355100
  • Other: 2124618 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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