Publix Super Markets Inc
Organization Active NPI Community/Retail Pharmacy · Stuart, FL
NPI 1003525403 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1003525403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 5893 SE Federal Hwy
Stuart, FL 34997-7869 - Phone
- (772) 403-6330
- Fax
- (772) 600-4021
- NPI assigned
- Nov 15, 2022
- Organization subpart
- No
Authorized official
- Name
- Catherine E Scanlon
- Title
- VP of Pharmacy
- Phone
- (863) 688-1188
Corporate family (same tax ID) 18
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Publix Super Markets Inc |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070110000622 | TX | Part B Supplier - Centralized Flu Biller | 4385644673 |
This NPI is an additional NPI on the enrollment Practice locations: Lakeland, FL |
| O20231219000206 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Stuart, FL |
National Provider Directory
- Tax ID family
- Publix Pharmacy 7413
Locations
5893 SE Federal Hwy
Stuart, FL 34997
Phone (772) 403-6330
5943 SE Federal Hwy
Stuart, FL 34997
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
5893 SE Federal Hwy
Stuart, FL 34997-7869
Mailing address
PO Box 407
Lakeland, FL 33802-0407
Phone (863) 688-1188
Other names
- Publix Pharmacy #1783
Other providers in Stuart, FL
- Gayta Prospere
- Levaughn Prowell
- Caitlyn G Prucinsky
- Olivia Przysinda
- Psychotherapeutic Services of Florida, in
- Publix Super Markets Inc
- Publix Super Markets Inc
- Publix Super Markets, Inc
- Adam Pugatch
- Christopher Brent Pugh
All providers in Stuart, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.