| NPI | 1164461000 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-06 |
| Last Updated | 2019-12-06 |
| Authorized Official | Dain Rusk VP Pharmacy Phone: 8636881188 |
| Mailing Address | Po Box 639680 Cincinnati, OH 45263-9680 United States Phone: (863) 688-1188 | Fax: (863) 616-5846 📍 View Map |
| Primary Practice Address | 17179 Tamiami Trl North Port, FL 34287-7291 United States Phone: (941) 426-8577 | Fax: (941) 423-8656 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 101262200 | - |
| Other (non-Medicare) | - | 2011071 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| Yes | 333600000X – Pharmacy | FL | PH0011799 |
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About NPI 1164461000
Publix Super Markets Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164461000. The primary specialty listed is Pharmacy. The organization is located in North Port, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164461000?
NPI 1164461000 belongs to Publix Super Markets Inc, a Pharmacy in North Port, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164461000 active?
The current status of NPI 1164461000 in the NPPES registry is Active. The record was last updated on 2019-12-06.
What specialty is NPI 1164461000?
NPI 1164461000 is classified under the taxonomy Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164461000?
You can verify NPI 1164461000 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164461000?
The primary practice address on file for NPI 1164461000 is 17179 Tamiami Trl, North Port, FL 34287-7291. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164461000 issued?
NPI 1164461000 was first issued (enumerated) on 2006-06-06. The NPPES record was last updated on 2019-12-06.
Practice Location Map
Publix Super Markets Inc is located at 17179 Tamiami Trl, North Port, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Publix Super Markets Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1164461000. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy | PH0011799 | FL |