Publix Super Markets, Inc.
Organization Active NPI Community/Retail Pharmacy · Saint Augustine, FL
NPI 1336022250 · NPPES record last updated Jul 8, 2026
Key facts
- NPI
- 1336022250
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- PUBLIX SUPER MARKETS, INC.
- Practice address
- 2875 State Road 16
Saint Augustine, FL 32092-1684 - Phone
- (904) 815-6215
- Fax
- (904) 416-0996
- NPI assigned
- Jul 29, 2025
- Organization subpart
- No
Authorized official
- Name
- Catherine E Scanlon
- Title
- VP of Pharmacy
- Phone
- (863) 688-1188
Corporate family (same tax ID) 24
Member of 1
Laboratory certificates & supplier records
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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, FL
Medicare enrollment records
| 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 |
| O20260127000958 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Saint Augustine, FL |
National Provider Directory
- Tax ID family
- Publix Pharmacy 7413
Locations
2875 State Road 16
Saint Augustine, FL 32092
Phone (904) 815-6215
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2875 State Road 16
Saint Augustine, FL 32092-1684
Mailing address
PO Box 407
Lakeland, FL 33802-0407
Phone (863) 688-1188
Other names
- Publix Pharmacy #2014
Other providers in Saint Augustine, FL
- Publix Super Markets Inc
- Publix Super Markets Inc
- Publix Super Markets Inc
- Publix Super Markets, Inc.
- Publix Super Markets, Inc.
- Publix Super Markets, Inc.
- Marie Cross Pucillo
- Emily Pudlinski
- Joanne Puleo
- Pulmonary Associates of St
All providers in Saint Augustine, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.