PUBLIX SUPER MARKETS INC. NPI 1194468371

NPI Information

  • NPI: 1194468371
  • Provider Name: PUBLIX SUPER MARKETS, INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: PUBLIX PHARMACY #1777
  • Address: 5534 PEACHTREE BLVD.
    CHAMBLEE, GA
    ZIP 30341
  • Phone: (863) 688-1188

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NPI Details

PUBLIX SUPER MARKETS, INC. is a pharmacy in Chamblee, GA. 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 1194468371. The provider is registered as an organization entity type.
The provider Is Doing Business As Publix Pharmacy #1777.

The provider's business location address is:

5534 PEACHTREE BLVD.
CHAMBLEE, GA
ZIP 30341
Phone: (863) 688-1188
Fax: (678) 430-8688

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 4/15/2022 and was last updated on 4/26/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyYes

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: 11/21/2025

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