| NPI | 1295776789 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-08 |
| Last Updated | 2022-10-27 |
| 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 | 1451 Riverstone Pkwy Canton, GA 30114-5624 United States Phone: (770) 720-1042 | Fax: (770) 882-0159 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 00777334A | - |
| Other (non-Medicare) | - | 2019976 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | GA | PHRE008203 |
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About NPI 1295776789
Publix Super Markets Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1295776789. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Canton, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1295776789?
NPI 1295776789 belongs to Publix Super Markets Inc, a Pharmacy, Community/Retail Pharmacy in Canton, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1295776789 active?
The current status of NPI 1295776789 in the NPPES registry is Active. The record was last updated on 2022-10-27.
What specialty is NPI 1295776789?
NPI 1295776789 is classified under the taxonomy Pharmacy, Community/Retail 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 1295776789?
You can verify NPI 1295776789 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 1295776789?
The primary practice address on file for NPI 1295776789 is 1451 Riverstone Pkwy, Canton, GA 30114-5624. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1295776789 issued?
NPI 1295776789 was first issued (enumerated) on 2006-06-08. The NPPES record was last updated on 2022-10-27.
Practice Location Map
Publix Super Markets Inc is located at 1451 Riverstone Pkwy, Canton, GA. 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 1295776789. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PHRE008203 | GA |