PUBLIX ALABAMA LLC NPI 1831405729

NPI Information

  • NPI: 1831405729
  • Provider Name: PUBLIX ALABAMA LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: PUBLIX PHARMACY #1375
  • CLIA Number: 01D2086984
  • Address: 1620 ROSS CLARK CIR
    DOTHAN, AL
    ZIP 36301
  • Phone: (334) 673-1208

Map and Directions

Get Directions

NPI Details

PUBLIX ALABAMA LLC is a community/retail pharmacy pharmacy in Dothan, AL. 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 ALABAMA LLC NPI is 1831405729. The provider is registered as an organization entity type.
The provider Is Doing Business As Publix Pharmacy #1375.

The provider's business location address is:

1620 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301-439
Phone: (334) 673-1208
Fax: (334) 673-1215

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 CLIA number assigned to this NPI record is 01D2086984 - pharmacy with a certificate type of Certificate of Waiver.

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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)

The enumeration date for this NPI number is 8/30/2010 and was last updated on 1/3/2020.

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
2333600000XPharmacy113406ALABAMANo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
1004963300MEDICAIDFLORIDA
22126460OTHERPK
3126261MEDICAIDALABAMA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI