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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PHRE008400	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2020390	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356380364
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	:	3870 PEACHTREE INDUSTRIAL BLVD
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30096-1422
Country	:	US
Telephone Number	:	770-813-9330
Fax Number	:	770-813-9067

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	06/30/2026

Similar Medicare Providers

1306948377 — BARBARA L. VERDELL
Practice Location Address:

3870 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA
30096-1422

Practice Phone: 770-476-9004
Practice Fax:

1033279534 — DR. MAURICE EDWARD SMITH DDS
Practice Location Address:

3870 PEACHTREE INDUSTRIAL BLVD , #220
DULUTH, GA
30096-1422

Practice Phone: 770-476-9004
Practice Fax:

1659618536 — SHAMILA TEBYANIAN PHARMD.
Practice Location Address:

3870 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA
30096-1422

Practice Phone: 770-813-9330
Practice Fax:

1699140053 — KRISTY LARKIN BREWER LCSW, PHD
Practice Location Address:

3870 PEACHTREE INDUSTRIAL BLVD # 340-312
DULUTH, GA
30096-1422

Practice Phone: 678-744-5369
Practice Fax:

1689458200 — LILIANA FRANCINE BENT
Practice Location Address:

3870 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA
30096-1422

Practice Phone: 770-813-9330
Practice Fax:

1760214753 — LIZBETH FRANCES BENT
Practice Location Address:

3870 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA
30096-1422

Practice Phone: 770-813-9330
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.