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PUBLIX SUPER MARKETS INC NPI 1457586810


NPI Information

NPI: 1457586810
Provider Name: PUBLIX SUPER MARKETS INC

Doing Business As: PUBLIX PHARMACY #1208

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D2088521

Address:
12975 COLLIER BLVD
NAPLES, FL
ZIP 34116
Phone: (239) 348-7806
Get Directions

PUBLIX SUPER MARKETS INC is a pharmacy in Naples, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. PUBLIX SUPER MARKETS INC NPI is 1457586810. The provider is registered as an organization entity type.
The provider Is Doing Business As Publix Pharmacy #1208.

The provider's business location address is:

12975 COLLIER BLVD
NAPLES, FL
ZIP 34116-004
Phone: (239) 348-7806
Fax: (239) 352-8120

The provider's authorized official is Dain Rusk .
The authorized official title is Vp Pharmacy and has the following contact phone number (863) 688-1188.

The CLIA number assigned to this NPI record is 10D2088521 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2009 and was last updated on 12/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyPH24045FLORIDAYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12120458OTHERPK
2001879300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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