DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PUBLIX TENNESSEE LLC

MEDICARE: PUBLIX TENNESSEE LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy4854TN
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12128978OTHERPK

General Provider Information

NPI Number : 1255638573
Entity Type Code : Organization
Provider Name (Legal Business Name) : PUBLIX TENNESSEE LLC
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 : 7014 CITY CENTER WAY
Second Line :
City : FAIRVIEW
State : TN
Zip : 37062-6004
Country : US
Telephone Number : 615-799-3479
Fax Number : 615-799-3484
Authorized Official
Title or Position : VP PHARMACY
Name : DAIN RUSK
Credential :
Telephone Number : 863-688-1188
Provider Enumeration Date : 02/23/2011
Last Update Date : 01/03/2020

Similar Medicare Providers

1235476912 — YOUSSEF ZAKY
Practice Location Address:
7014 CITY CENTER WAY
FAIRVIEW, TN
37062-6004
Practice Phone: 615-799-3479
Practice Fax:
1457790396 — DR. DEVIN KYE KREKEL D.M.D
Practice Location Address:
7022 CITY CENTER WAY
FAIRVIEW, TN
37062-6004
Practice Phone: 615-266-2645
Practice Fax:
1487100863 — TIM BECKNER
Practice Location Address:
7016 CITY CENTER WAY
FAIRVIEW, TN
37062-6004
Practice Phone: 615-799-1915
Practice Fax: 615-799-5928
1033649504 — NICHOLAS KRAMER
Practice Location Address:
7016 CITY CENTER WAY
FAIRVIEW, TN
37062-6004
Practice Phone: 615-799-1915
Practice Fax: 615-799-5928
1447813969 — AUSTIN DAUGHERTY
Practice Location Address:
7016 CITY CENTER WAY
FAIRVIEW, TN
37062-6004
Practice Phone: 615-799-1915
Practice Fax: 615-799-5928
1366060998 — DONALD HOYLE
Practice Location Address:
7014 CITY CENTER WAY
FAIRVIEW, TN
37062-6004
Practice Phone: 615-799-3479
Practice Fax:

Directions to “PUBLIX TENNESSEE LLC ” 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.