NPIMap

Organization Active NPI

Publix

  • Community/Retail Pharmacy
  • Fort Myers, FL
National Provider Identifier
1356711089
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1629017595 Issued in FL
Legal business name
PUBLIX
Practice address
4065 Hancock Bridge Pkwy
Fort Myers, FL 33903-4294
Phone
(239) 997-0212
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maggie King
Title
District Manager
Phone
(239) 206-7993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1629017595 FL Primary

Addresses

Primary practice location

4065 Hancock Bridge Pkwy
Fort Myers, FL 33903-4294

Mailing address

4065 Hancock Bridge Pkwy
North Fort Myers, FL 33903-4294

National Provider Directory

National Provider Directory
Tax ID family
Publix Pharmacy 73991,161 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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1356711089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 HANCOCK BRIDGE PKWY",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 HANCOCK BRIDGE PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339034294",
            "telephone_number": "239-997-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "DISTRICT MANAGER",
        "authorized_official_telephone_number": "239-206-7993"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "1629017595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.