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PUBLIX SUPER MARKETS INC NPI 1609327451


NPI Information

NPI: 1609327451
Provider Name: PUBLIX SUPER MARKETS INC

Doing Business As: PUBLIX PHARMACY #1260

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
5052 N US HIGHWAY 41
APOLLO BEACH, FL
ZIP 33572
Phone: (813) 641-2398
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PUBLIX SUPER MARKETS INC is a pharmacy in Apollo Beach, FL. The provider is 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. PUBLIX SUPER MARKETS INC NPI is 1609327451. The provider is registered as an organization entity type.
The provider Is Doing Business As Publix Pharmacy #1260.

The provider's business location address is:

5052 N US HIGHWAY 41
APOLLO BEACH, FL
ZIP 33572-504
Phone: (813) 641-2398
Fax: (813) 489-6122

The provider's authorized official is Dain Rusk .
The authorized official title is Vp Pharmacy and has the following contact phone number (863) 688-1188.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 12/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyPH30390FLORIDAYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1019434601MEDICAIDFLORIDA
22166311OTHERPK
3019434600MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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