NPIMap

Organization Active NPI

Publix Super Markers, Inc

  • Community/Retail Pharmacy
  • Jupiter, FL
National Provider Identifier
1407236573
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PS49330 Issued in FL
Legal business name
PUBLIX SUPER MARKERS, INC
Practice address
162 S Hampton Dr
Jupiter, FL 33458-8108
Phone
(239) 823-5898
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Stephanie Faye Conklin, PHARM DNPI 1992185078
Title
Pharmacist
Phone
(239) 823-5898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PS49330 FL Primary

Addresses

Primary practice location

162 S Hampton Dr
Jupiter, FL 33458-8108

Mailing address

162 S Hampton Dr
Jupiter, FL 33458-8108
Phone (239) 823-5898

National Provider Directory

National Provider Directory
Tax ID family
Publix Pharmacy 74131,157 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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1407236573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S HAMPTON DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588108",
            "telephone_number": "239-823-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S HAMPTON DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588108",
            "telephone_number": "239-823-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIX SUPER MARKERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "239-823-5898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS49330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.