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 PharmacyPH0019262FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22015676OTHERPK

General Provider Information

NPI Number : 1972542843
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 : 10615 NARCOOSSEE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6904
Country : US
Telephone Number : 407-277-1446
Fax Number : 407-277-1687
Authorized Official
Title or Position : VP OF PHARMACY
Name : CATHERINE E SCANLON
Credential :
Telephone Number : 863-688-1188
Provider Enumeration Date : 06/06/2006
Last Update Date : 06/24/2026

Similar Medicare Providers

1629102777 — ROBERTO J SANTANA OQUENDO RPH
Practice Location Address:
10615 NARCOOSSEE RD
ORLANDO, FL
32832-6904
Practice Phone: 407-277-1446
Practice Fax:
1427339829 — SARA V OWENS PHARMD
Practice Location Address:
10615 NARCOOSSEE RD
ORLANDO, FL
32832-6904
Practice Phone: 407-277-1446
Practice Fax:
1619376647 — TARIK OSIER
Practice Location Address:
10615 NARCOOSSEE RD
ORLANDO, FL
32832-6904
Practice Phone: 407-277-1446
Practice Fax: 407-277-1687
1679027486 — JESSICA EILEEN BRIER
Practice Location Address:
10615 NARCOOSSEE RD
ORLANDO, FL
32832-6904
Practice Phone: 407-277-1446
Practice Fax:
1336693936 — VINH QUANG PHAM RPH
Practice Location Address:
10615 NARCOOSSEE RD
ORLANDO, FL
32832-6904
Practice Phone: 407-277-1446
Practice Fax:
1881247062 — ISSA KHALIL
Practice Location Address:
10615 NARCOOSSEE RD
ORLANDO, FL
32832-6904
Practice Phone: 407-277-1446
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.