Publix Super Markets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH0019175 Issued in FL

Legal business name

PUBLIX SUPER MARKETS INC

Practice address

13860 S Jog Rd
West Delray Beach, FL 33446-5902

Phone

(561) 495-3968

Fax

(561) 496-1370

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Publix Pharmacy #0279 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, FL2 enrollments

Enrollment records 2

These 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

Tax ID family

Publix Pharmacy 74131,155 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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Marathon, FL
  • NPI 1164461034
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Kissimmee, FL
  • NPI 1164461075
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Tallahassee, FL
  • NPI 1164462016
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1164462503
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Sunrise, FL
  • NPI 1164462545
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Pinecrest, FL
  • NPI 1164773636
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • West Palm Beach, FL
  • NPI 1164893327
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Fort Lauderdale, FL
  • NPI 1164896296
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Kissimmee, FL
  • NPI 1174562045
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Coconut Creek, FL
  • NPI 1174562128
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Bradenton, FL
  • NPI 1174563555
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Gainesville, FL
  • NPI 1174564678
  NPD tax ID

Networks

• Optimum HealthCare HMO NetworkPlans: 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)
• HealthSun Health Plans Network
• Freedom Health HMO NetworkPlans: 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)…

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1174562136",
    "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": "13860 S JOG RD",
            "city": "WEST DELRAY BEACH",
            "state": "FL",
            "postal_code": "334465902",
            "telephone_number": "561-495-3968",
            "fax_number": "561-496-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIX SUPER MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "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": "FL",
            "license": "PH0019175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026072000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Publix Pharmacy #0279",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Publix Pharmacy #0279",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Warren Edward Gorodess
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• All providers in West Delray Beach, FL
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.