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Export Provider Record NPI 1316032709
Publix Tennessee Llc
Organization Subpart: NO
Active
NPI Number1316032709
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1316032709
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-10-03
Last Updated2020-01-03
Authorized OfficialDain Rusk
VP Pharmacy
Phone: 8636881188
Mailing AddressPo Box 639680
Cincinnati, OH 45263-9680
United States
Phone: (863) 688-1188 | Fax: (863) 616-5846
📍 View Map
Primary Practice Address460 Long Hollow Pike
Goodlettsville, TN 37072-3480
United States
Phone: (615) 851-8436 | Fax: (615) 851-8523
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2095140PK
MEDICAIDTNQ036216-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
No333600000X – Pharmacy--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyTN4319
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About NPI 1316032709

Publix Tennessee Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1316032709. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Goodlettsville, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1316032709?

NPI 1316032709 belongs to Publix Tennessee Llc, a Pharmacy, Community/Retail Pharmacy in Goodlettsville, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1316032709 active?

The current status of NPI 1316032709 in the NPPES registry is Active. The record was last updated on 2020-01-03.

What specialty is NPI 1316032709?

NPI 1316032709 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 1316032709?

You can verify NPI 1316032709 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 1316032709?

The primary practice address on file for NPI 1316032709 is 460 Long Hollow Pike, Goodlettsville, TN 37072-3480. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1316032709 issued?

NPI 1316032709 was first issued (enumerated) on 2006-10-03. The NPPES record was last updated on 2020-01-03.

Practice Location Map

Publix Tennessee Llc is located at 460 Long Hollow Pike, Goodlettsville, TN. Use the map below to find directions or verify the practice location.

📍 460 Long Hollow Pike, Goodlettsville, TN 37072-3480  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Publix Tennessee Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1316032709. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail Pharmacy4319TN
Data Verified from CMS NPPES Last synced: 2026-08-07 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162