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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1598349821
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	:	3942 S SUNCOAST BLVD
Second Line	:
City	:	HOMOSASSA
State	:	FL
Zip	:	34448-2601
Country	:	US
Telephone Number	:	352-423-5560
Fax Number	:	352-201-3355

Authorized Official
Title or Position	:	VP, PHARMACY
Name	:	DAIN RUSK
Credential	:
Telephone Number	:	863-688-1188

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	01/28/2022

Similar Medicare Providers

1114118106 — EYE DOCTORS OPTICAL OUTLETS PA
Practice Location Address:

3922 S SUNCOAST BLVD
HOMOSASSA, FL
34448-2601

Practice Phone: 352-621-7528
Practice Fax:

1548402522 — MR. ROGER ALLEN THRONEBURG SR. B.C.H.A.S.
Practice Location Address:

3944 S SUNCOAST BLVD , SUITE 5
HOMOSASSA, FL
34448-2601

Practice Phone: 352-628-9909
Practice Fax:

1992180897 — CHRIST PHARMACY INC
Practice Location Address:

3952 S SUNCOAST BLVD
HOMOSASSA, FL
34448-2601

Practice Phone: 352-765-4743
Practice Fax: 352-765-4703

1992215644 — JONATHAN PARKER WALTON PHARM.D.
Practice Location Address:

3952 S SUNCOAST BLVD
HOMOSASSA, FL
34448-2601

Practice Phone: 352-765-4743
Practice Fax:

1679135305 — QUICK CARE MED, LLC
Practice Location Address:

3956 S SUNCOAST BLVD
HOMOSASSA, FL
34448-2601

Practice Phone: 352-628-0911
Practice Fax: 352-503-9925

1255095089 — LANG DENTAL STUDIO PLLC
Practice Location Address:

3900 S SUNCOAST BLVD
HOMOSASSA, FL
34448-2601

Practice Phone: 315-454-6000
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.