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 SUPER MARKETS INC

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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336C0003XCommunity/Retail PharmacyPH30012FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32158329OTHERPK

General Provider Information

NPI Number : 1225497027
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 :
Provider Business Practice Location Address
First Line : 8842 W STATE ROAD 84
Second Line :
City : DAVIE
State : FL
Zip : 33324-4415
Country : US
Telephone Number : 954-423-9460
Fax Number : 754-701-6511
Authorized Official
Title or Position : VP PHARMACY
Name : DAIN RUSK
Credential :
Telephone Number : 863-688-1188
Provider Enumeration Date : 02/22/2016
Last Update Date : 11/21/2019

Similar Medicare Providers

1578549259 — WORLD OPTICAL II INC
Practice Location Address:
8828 W STATE ROAD 84
DAVIE, FL
33324-4415
Practice Phone: 954-916-8484
Practice Fax: 954-476-2668
1013018043 — DR. RUSK HARRIS O.D
Practice Location Address:
8828 W STATE ROAD 84
DAVIE, FL
33324-4415
Practice Phone: 954-916-8484
Practice Fax: 954-476-2668
1619144128 — LENS SPOT INC I
Practice Location Address:
8828 W STATE ROAD 84
DAVIE, FL
33324-4415
Practice Phone: 954-916-8484
Practice Fax:
1760659288 — LENS SPOT INC
Practice Location Address:
8828 W STATE ROAD 84
DAVIE, FL
33324-4415
Practice Phone: 954-916-8484
Practice Fax:
1144497371 — LUIS F RODRIGUEZ OPTICIAN
Practice Location Address:
8828 W STATE ROAD 84
DAVIE, FL
33324-4415
Practice Phone: 954-916-8484
Practice Fax:
1265438147 — MR. JAMES O'CONNOR
Practice Location Address:
7740 NOVA DR , SUITE B-4
DAVIE, FL
33324
Practice Phone: 954-634-3438
Practice Fax: 954-634-3437

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.