Active NPI
Publix Super Markets Inc
- Pharmacy
- Homestead, FL
National Provider Identifier
1144550211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH24504
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 23300 SW 112TH Ave
Homestead, FL 33032-7173 - Phone
- (305) 257-4094
- Fax
- (305) 257-4099
- NPI assigned
- Jan 12, 2010
- 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 | PH24504 | FL | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
23300 SW 112TH Ave
Homestead, FL 33032-7173
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2123451 | Other | PK | |
| 002074900 | Medicaid | FL |
Other names 1
- Publix Pharmacy #1247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
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 |
| O20100930046215 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Homestead, FL |
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 Health Clinic/Center
- Leesburg, FL
- NPI 1154719078
-
- Pharmacy
- Stuart, FL
- NPI 1124355656
-
- Community/Retail Pharmacy
- Riverview, FL
- NPI 1134160625
-
- Community/Retail Pharmacy
- Clermont, FL
- NPI 1134168008
-
- Community/Retail Pharmacy
- Jensen Beach, FL
- NPI 1134168909
-
- Community/Retail Pharmacy
- Orlando, FL
- NPI 1134169519
-
- Community/Retail Pharmacy
- Clearwater, FL
- NPI 1134431703
-
- Community/Retail Pharmacy
- Plantation, FL
- NPI 1134568686
-
- Community/Retail Pharmacy
- Spring Hill, FL
- NPI 1144196270
-
- Community/Retail Pharmacy
- Lakeland, FL
- NPI 1144260522
-
- Community/Retail Pharmacy
- Davenport, FL
- NPI 1144415753
-
- Community/Retail Pharmacy
- Naples, FL
- NPI 1144646399
Networks
- HealthSun Health Plans Network
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Homestead, FL
- NPI 1336557131
-
- Pharmacist
- Homestead, FL
- NPI 1649517715
-
- Pharmacist
- Homestead, FL
- NPI 1760268932
-
- Pharmacist
- Homestead, FL
- NPI 1548816408
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 Pharmacy #1247 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) | Accepts assignment |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781654400000",
"number": "1144550211",
"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": "23300 SW 112TH AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330327173",
"telephone_number": "305-257-4094",
"fax_number": "305-257-4099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-12",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"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": "FL",
"license": "PH24504",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2123451",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002074900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #1247",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #1247",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.