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 PharmacyPH24216FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22121777OTHERPK

General Provider Information

NPI Number : 1922231349
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 : 3825 E BAY DR
Second Line :
City : LARGO
State : FL
Zip : 33771-1936
Country : US
Telephone Number : 727-538-8718
Fax Number : 727-538-8729
Authorized Official
Title or Position : VP PHARMACY
Name : DAIN RUSK
Credential :
Telephone Number : 863-688-1188
Provider Enumeration Date : 09/02/2009
Last Update Date : 01/31/2022

Similar Medicare Providers

1427096502 — ALBERTSONS LLC
Practice Location Address:
3825 E BAY DR
LARGO, FL
33771-1936
Practice Phone: 727-535-1458
Practice Fax: 727-530-4227
1760729768 — JOSE D BORREGO RPH
Practice Location Address:
3825 E BAY DR
LARGO, FL
33771-1936
Practice Phone: 727-538-8718
Practice Fax: 727-538-8729
1366789257 — KATELYN TON
Practice Location Address:
3825 E BAY DR
LARGO, FL
33771-1936
Practice Phone: 727-538-8718
Practice Fax: 727-538-8729
1740698133 — DR. DEMETRIOS NICHOLAS PAPPAS
Practice Location Address:
3825 E BAY DR
LARGO, FL
33771-1936
Practice Phone: 727-538-8718
Practice Fax: 727-538-8729
1124508783 — MICHELLE WEAVER
Practice Location Address:
3825 E BAY DR
LARGO, FL
33771-1936
Practice Phone: 727-538-8718
Practice Fax:
1871432260 — SOVRENMD
Practice Location Address:
8305 ULMERTON RD STE 300
LARGO, FL
33771-3838
Practice Phone: 727-482-2511
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.