PUBLIX SUPER MARKETS INC NPI 1710926720

NPI Information

  • NPI: 1710926720
  • Provider Name: PUBLIX SUPER MARKETS INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: PUBLIX PHARMACY #0330
  • Address: 4860 DAVIS BLVD
    NAPLES, FL
    ZIP 34104
  • Phone: (239) 417-6630

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NPI Details

PUBLIX SUPER MARKETS INC is a community/retail pharmacy pharmacy in Naples, FL. The provider is 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. PUBLIX SUPER MARKETS INC NPI is 1710926720. The provider is registered as an organization entity type.
The provider Is Doing Business As Publix Pharmacy #0330.

The provider's business location address is:

4860 DAVIS BLVD
NAPLES, FL
ZIP 34104-337
Phone: (239) 417-6630
Fax: (239) 417-6634

The provider's authorized official is Dale Houston .
The authorized official title is Manager Of Managed Care and has the following contact phone number (863) 688-1188.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 10/11/2013.

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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPH0020003FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHC056MEDICARE PIN
20775140624MEDICARE NSC
32007456OTHERPK
4026977800MEDICAIDFLORIDA

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: 3/30/2025

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