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Publix Super Markets Inc

Organization Active NPI Pharmacy · Casselberry, FL

NPI 1013233402 · NPPES record last updated Jun 17, 2026

Key facts

NPI
1013233402
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
PH24561 (FL)
Legal business name
PUBLIX SUPER MARKETS INC
Practice address
1455 Sr 436, Unit 221
Casselberry, FL 32707
Phone
(407) 673-0788
Fax
(407) 673-0987
NPI assigned
Apr 12, 2010
Organization subpart
No

Authorized official

Name
Catherine E Scanlon
Title
VP of Pharmacy
Phone
(863) 688-1188

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX, FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070110000622 TX Part B Supplier - Centralized Flu Biller 4385644673 This NPI is an additional NPI on the enrollment
Practice locations: Lakeland, FL
O20100930047638 FL DME Supplier - Pharmacy 4385644673 Practice locations: Casselberry, FL

National Provider Directory

Tax ID family
Publix Pharmacy 7413 (1,155 organizations share this tax ID)

Networks

  • Optimum HealthCare HMO Network
    Plans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO Network
    Plans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PH24561 FL Yes
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1455 Sr 436, Unit 221
Casselberry, FL 32707

Mailing address

PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188

Other identifiers

IdentifierTypeStateIssuer
002355100MedicaidFL
2124618OtherPK

Other names

  • Publix Pharmacy #1285 Doing business as

Other providers in Casselberry, FL

All providers in Casselberry, FL · Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.