Active NPI
Publix Super Markets, Inc.
- Community/Retail Pharmacy
- Ringgold, GA
National Provider Identifier
1124505458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PUBLIX SUPER MARKETS, INC.
- Practice address
- 3775 Battlefield Pkwy
Ringgold, GA 30736 - Phone
- (863) 688-1188
- Fax
- (706) 521-0850
- NPI assigned
- Jul 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine E Scanlon
- Title
- VP of Pharmacy
- Phone
- (863) 688-1188
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3775 Battlefield Pkwy
Ringgold, GA 30736
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other names 1
- Publix Pharmacy #1641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA
Enrollment records 2
| 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 |
| O20181029002540 | GA | DME Supplier - Pharmacy | 4385644673 | Practice locations: Ringgold, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
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 |
National Provider Directory
National Provider Directory- Tax ID family
- Publix Pharmacy 7413
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.
-
- Community/Retail Pharmacy
- Dacula, GA
- NPI 1073796561
-
- Community/Retail Pharmacy
- Gainesville, GA
- NPI 1083653026
-
- Community/Retail Pharmacy
- Peachtree City, GA
- NPI 1083653091
-
- Community/Retail Pharmacy
- Marietta, GA
- NPI 1083654446
-
- Community/Retail Pharmacy
- Fayetteville, GA
- NPI 1083654552
-
- Community/Retail Pharmacy
- Locust Grove, GA
- NPI 1083700843
-
- Community/Retail Pharmacy
- Columbus, GA
- NPI 1083897581
-
- Community/Retail Pharmacy
- Canton, GA
- NPI 1093756595
-
- Community/Retail Pharmacy
- Atlanta, GA
- NPI 1104866532
-
- Community/Retail Pharmacy
- Acworth, GA
- NPI 1104867696
-
- Community/Retail Pharmacy
- Alpharetta, GA
- NPI 1124062708
-
- Community/Retail Pharmacy
- Alpharetta, GA
- NPI 1144269010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1124505458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639680",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639680",
"telephone_number": "863-688-1188",
"fax_number": "863-616-5846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 BATTLEFIELD PKWY",
"city": "RINGGOLD",
"state": "GA",
"postal_code": "30736",
"telephone_number": "863-688-1188",
"fax_number": "706-521-0850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-19",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "SCANLON",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VP OF PHARMACY",
"authorized_official_telephone_number": "863-688-1188"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #1641",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ringgold, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.