MEDICARE: PUBLIX SUPER MARKETS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PH23563	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2116856	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174770077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PUBLIX SUPER MARKETS INC

Provider Business Mailing Address
First Line	:	PO BOX 639680
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-9680
Country	:	US
Telephone Number	:	863-688-1188
Fax Number	:	863-616-5846

Provider Business Practice Location Address
First Line	:	400 E CENTRAL BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-1923
Country	:	US
Telephone Number	:	407-872-7207
Fax Number	:	407-872-7213

Authorized Official
Title or Position	:	VP OF PHARMACY
Name	:	CATHERINE E SCANLON
Credential	:
Telephone Number	:	863-688-1188

Provider Enumeration Date	:	08/21/2008
Last Update Date	:	06/16/2026

Similar Medicare Providers

1194908665 — DR. MARGARET ANN MOXNESS M.D.
Practice Location Address:

424 E CENTRAL BLVD , #201
ORLANDO, FL
32801-1923

Practice Phone: 513-312-0635
Practice Fax:

1801117270 — BETTINA BOURDA OTR/L, CLT
Practice Location Address:

424 E CENTRAL BLVD , STE 378
ORLANDO, FL
32801-1923

Practice Phone: 407-219-4367
Practice Fax:

1730458910 — DR. MONIQUE SHAREE JONES PHARM D
Practice Location Address:

400 E CENTRAL BLVD
ORLANDO, FL
32801-1923

Practice Phone: 407-872-7207
Practice Fax:

1194073544 — LIVE LIFE WELL, LLC
Practice Location Address:

424 E CENTRAL BLVD , 378
ORLANDO, FL
32801-1923

Practice Phone: 713-385-0782
Practice Fax:

1588901227 — DR. UGOMMA AMY NWAHIRI PHARMD
Practice Location Address:

400 E CENTRAL BLVD
ORLANDO, FL
32801-1923

Practice Phone: 407-872-7207
Practice Fax: 407-872-7213

1386982973 — ROBERT YOUNG
Practice Location Address:

400 E CENTRAL BLVD
ORLANDO, FL
32801-1923

Practice Phone: 407-872-7207
Practice Fax: 407-872-7213

Directions to “PUBLIX SUPER MARKETS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.