NPIMap

Organization Active NPI

Publix

  • Pharmacist
  • Satellite Beach, FL
National Provider Identifier
1043698517
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
PUBLIX
Practice address
1024 Highway A1A # 4B
Satellite Beach, FL 32937-2342
Phone
(321) 773-7035
NPI assigned
May 15, 2015
Last updated
Jul 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Dawn Goodwin, RPH
Title
Pharmacist
Phone
(321) 773-7035

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1024 Highway A1A # 4B
Satellite Beach, FL 32937-2342

Mailing address

1024 Highway A1A
Satellite Beach, FL 32937-2342
Phone (321) 773-7035

National Provider Directory

National Provider Directory
Tax ID family
Publix Pharmacy 73991,161 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1024 Highway A1A
Satellite Beach, FL 32937
Phone (321) 773-7035

1024 Highway A1A
#4B
Satellite Beach, FL 32937
Phone (321) 773-7035

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1043698517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 HIGHWAY A1A",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372342",
            "telephone_number": "321-773-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 HIGHWAY A1A # 4B",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329372342",
            "telephone_number": "321-773-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "321-773-7035",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Satellite Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.