Active NPI
Publix Super Markets, Inc.
- Community/Retail Pharmacy
- Tallahassee, FL
National Provider Identifier
1245936335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PUBLIX SUPER MARKETS, INC.
- Practice address
- 8462 Bannerman Blvd
Tallahassee, FL 32312-9118 - Phone
- (448) 206-6623
- Fax
- (850) 692-5607
- NPI assigned
- Feb 1, 2023
- 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
8462 Bannerman Blvd
Tallahassee, FL 32312-9118
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other names 1
- Publix Pharmacy #1836
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 |
| O20230822003201 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Tallahassee, FL |
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 | 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
- Winter Haven, FL
- NPI 1235096942
-
- Community/Retail Pharmacy
- Lakeland, FL
- NPI 1235155326
-
- Community/Retail Pharmacy
- Altamonte Springs, FL
- NPI 1235179649
-
- Community/Retail Pharmacy
- Weston, FL
- NPI 1235518184
-
- Community/Retail Pharmacy
- Lake Placid, FL
- NPI 1235671777
-
- Community/Retail Pharmacy
- Valrico, FL
- NPI 1245279116
-
- Community/Retail Pharmacy
- North Miami Beach, FL
- NPI 1245279199
-
- Community/Retail Pharmacy
- West Palm Beach, FL
- NPI 1245279298
-
- Community/Retail Pharmacy
- Pembroke Pines, FL
- NPI 1245335041
-
- Community/Retail Pharmacy
- Coral Springs, FL
- NPI 1245554328
-
- Pharmacy
- Oviedo, FL
- NPI 1245556430
-
- Community/Retail Pharmacy
- Miami Shores, FL
- NPI 1255370128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1245936335",
"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": "863-616-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8462 BANNERMAN BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323129118",
"telephone_number": "448-206-6623",
"fax_number": "850-692-5607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-01",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"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 #1836",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #1836",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.