| NPI | 1447299482 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-05 |
| Last Updated | 2024-04-24 |
| 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 | 103 Mirror Lake Connector Ste 200 Villa Rica, GA 30180-3250 United States Phone: (678) 840-8788 | Fax: (678) 840-8786 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2015543 | PK |
| MEDICAID | GA | 253206699A | - |
| Other (non-Medicare) | GA | PHRE011166 | State Pharmacy License |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | GA | PHRE008805 |
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About NPI 1447299482
Publix Super Markets Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1447299482. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Villa Rica, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1447299482?
NPI 1447299482 belongs to Publix Super Markets Inc, a Pharmacy, Community/Retail Pharmacy in Villa Rica, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1447299482 active?
The current status of NPI 1447299482 in the NPPES registry is Active. The record was last updated on 2024-04-24.
What specialty is NPI 1447299482?
NPI 1447299482 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 1447299482?
You can verify NPI 1447299482 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 1447299482?
The primary practice address on file for NPI 1447299482 is 103 Mirror Lake Connector Ste 200, Villa Rica, GA 30180-3250. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1447299482 issued?
NPI 1447299482 was first issued (enumerated) on 2006-06-05. The NPPES record was last updated on 2024-04-24.
Practice Location Map
Publix Super Markets Inc is located at 103 Mirror Lake Connector Ste 200, Villa Rica, 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 1447299482. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | PHRE008805 | GA |