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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH0010547	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2009298	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255370169
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	:	12231 E COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32826-4759
Country	:	US
Telephone Number	:	407-380-3148
Fax Number	:	407-277-3109

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

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	06/17/2026

Similar Medicare Providers

1447597588 — RACHEL MATTSSON
Practice Location Address:

12231 E COLONIAL DR
ORLANDO, FL
32826-4759

Practice Phone: 407-380-3148
Practice Fax:

1366803900 — NISHMA PATEL PHARM. D.
Practice Location Address:

12231 E COLONIAL DR
ORLANDO, FL
32826-4759

Practice Phone: 407-482-1384
Practice Fax:

1306479753 — DR. JONATHON RICHARD NOWAKOWSKI DC
Practice Location Address:

12231 E COLONIAL DR STE 110
ORLANDO, FL
32826-4759

Practice Phone: 321-204-2610
Practice Fax:

1598394165 — DR. LAUREN EVE SAMADEEN PHARMD
Practice Location Address:

12231 E COLONIAL DR
ORLANDO, FL
32826-4759

Practice Phone: 407-482-1244
Practice Fax:

1497680219 — JADE MARIE MEYERS
Practice Location Address:

2000 N ALAFAYA TRL
ORLANDO, FL
32826-4739

Practice Phone: 844-244-1818
Practice Fax:

1316872146 — SOPHIA GRACE RUSTIN RBT
Practice Location Address:

2000 N ALAFAYA TRL
ORLANDO, FL
32826-4739

Practice Phone: 407-974-6557
Practice Fax:

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.