Active NPI
Publix Super Markets Inc
- Community/Retail Pharmacy
- Naples, FL
National Provider Identifier
1366481236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH0015919
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 5624 Strand Blvd
Naples, FL 34110-1325 - Phone
- (239) 596-0519
- Fax
- (239) 592-0808
- NPI assigned
- Jun 6, 2006
- 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 | PH0015919 | FL | Primary |
Addresses
Primary practice location
5624 Strand Blvd
Naples, FL 34110-1325
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106350200 | Medicaid | FL | |
| 2011529 | Other | PK |
Other names 1
- Publix Pharmacy #0635
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 |
| O20100930052802 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Naples, 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 Pharmacy #0635 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | 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
- Fort Myers, FL
- NPI 1356711089
-
- Community/Retail Pharmacy
- Pompano Beach, FL
- NPI 1356380224
-
- Community/Retail Pharmacy
- Tamarac, FL
- NPI 1356380265
-
- Community/Retail Pharmacy
- St Augustine, FL
- NPI 1356380315
-
- Community/Retail Pharmacy
- Hernando, FL
- NPI 1356381735
-
- Community/Retail Pharmacy
- Seminole, FL
- NPI 1356381792
-
- Community/Retail Pharmacy
- Southwest Ranches, FL
- NPI 1356382857
-
- Community/Retail Pharmacy
- North Venice, FL
- NPI 1356783823
-
- Community/Retail Pharmacy
- Freeport, FL
- NPI 1356790729
-
- Community/Retail Pharmacy
- Ponte Vedra Beach, FL
- NPI 1366481301
-
- Community/Retail Pharmacy
- Sarasota, FL
- NPI 1366481319
-
- Community/Retail Pharmacy
- Jupiter, FL
- NPI 1366482721
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Naples, FL
- NPI 1851790455
-
- Community/Retail Pharmacy
- Naples, FL
- NPI 1699540740
-
- Pharmacist
- Naples, FL
- NPI 1477891059
-
- Pharmacist
- Naples, FL
- NPI 1841538063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1366481236",
"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": "5624 STRAND BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101325",
"telephone_number": "239-596-0519",
"fax_number": "239-592-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"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": "PH0015919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106350200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2011529",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #0635",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #0635",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.