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 PharmacyPH0009536FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12007873OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356380265
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 : 5881 N UNIVERSITY DR
Second Line :
City : TAMARAC
State : FL
Zip : 33321-4618
Country : US
Telephone Number : 954-721-8026
Fax Number : 954-720-3406
Authorized Official
Title or Position : VP PHARMACY
Name : DAIN RUSK
Credential :
Telephone Number : 863-688-1188
Provider Enumeration Date : 06/06/2006
Last Update Date : 11/21/2019

Similar Medicare Providers

1942320221 — MR. GERARDO Z VAZQUEZ RPH
Practice Location Address:
5881 N UNIVERSITY DR
TAMARAC, FL
33321-4618
Practice Phone: 954-721-8026
Practice Fax: 954-720-8403
1083951941 — DR. ERICA NICHOLE PHILLIPS PHARMD
Practice Location Address:
5881 N UNIVERSITY DR
TAMARAC, FL
33321-4618
Practice Phone: 954-721-8026
Practice Fax: 954-720-3406
1245578764 — KAMLESH CHRISTIAN PHARM. D.
Practice Location Address:
5881 N UNIVERSITY DR
TAMARAC, FL
33321-4618
Practice Phone: 954-721-8026
Practice Fax:
1154722189 — NANDITA KOODIE PHARM.D.
Practice Location Address:
5881 N UNIVERSITY DR
TAMARAC, FL
33321-4618
Practice Phone: 954-721-8026
Practice Fax: 954-720-3406
1700490307 — TANYA HAJISALEM
Practice Location Address:
5881 N UNIVERSITY DR
TAMARAC, FL
33321-4618
Practice Phone: 954-721-8026
Practice Fax:
1659007722 — DR. DANIEL ARMANDO RUSSO PHARM. D
Practice Location Address:
5881 N UNIVERSITY DR
TAMARAC, FL
33321-4618
Practice Phone: 954-721-8026
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.