Active NPI
Publix Super Markets Inc
Doing business as Publix Pharmacy #0012
- Community/Retail Pharmacy
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH0011571
- Legal business name
- PUBLIX SUPER MARKETS INC
- Doing business as
- Publix Pharmacy #0012
- Practice address
- 600 N University Dr
Pembroke Pines, FL 33024-6731 - Phone
- (954) 433-4408
- Fax
- (954) 435-8304
- NPI assigned
- Jun 7, 2006
- Last updated
- Jun 18, 2026
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PH0011571 | FL | Primary |
Addresses
Primary practice location
600 N University Dr
Pembroke Pines, FL 33024-6731
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010965 | Other | PK | |
| 101131600 | Medicaid | FL |
Other names 1
- Publix Pharmacy #0012
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 |
| O20100930039996 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Pembroke Pines, 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|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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Oviedo, FL
- NPI 1437553625
-
dba Publix Pharmacy #0791
- Community/Retail Pharmacy
- Mulberry, FL
- NPI 1437198306
-
dba Publix Pharmacy #0871
- Community/Retail Pharmacy
- Davie, FL
- NPI 1437198496
-
dba Publix Pharmacy #0644
- Community/Retail Pharmacy
- Jacksonville, FL
- NPI 1437199387
-
dba Publix Pharmacy #0502
- Community/Retail Pharmacy
- Orange Park, FL
- NPI 1437199817
-
dba Publix Pharmacy #1394
- Community/Retail Pharmacy
- St Petersburg, FL
- NPI 1437438082
-
dba Publix Pharmacy #1353
- Community/Retail Pharmacy
- West Melbourne, FL
- NPI 1437467131
-
dba Publix Pharmacy #1497
- Community/Retail Pharmacy
- West Palm Beach, FL
- NPI 1437520657
-
dba Publix Pharmacy #1501
- Community/Retail Pharmacy
- Orlando, FL
- NPI 1437607009
-
dba Publix Pharmacy #0454
- Community/Retail Pharmacy
- Miami, FL
- NPI 1447290820
-
dba Publix Pharmacy #0643
- Community/Retail Pharmacy
- New Port Richey, FL
- NPI 1447291943
-
dba Publix Pharmacy #0500
- Community/Retail Pharmacy
- Key West, FL
- NPI 1447299318
Locations
600 N University Dr
Pembroke Pines, FL 33024
Phone (954) 433-4400
Networks
- Freedom Health HMO Network
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
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.
-
- Pharmacist
- Lakeland, FL
- NPI 1467797399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1447290887",
"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": "600 N UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330246731",
"telephone_number": "954-433-4408",
"fax_number": "954-435-8304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"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": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PH0011571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2010965",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101131600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #0012",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #0012",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pembroke Pines, FL
- Psych-MD, LLC
- Psychiatric Mental Health Associates of Florida
- Psychotherapeutic Services of Florida, in
- Publix Super Markets Inc (Publix Pharmacy #1068)
- Publix Super Markets Inc (Publix Pharmacy #0303)
- Publix Super Markets Inc (Publix Pharmacy #1795)
- Publix Super Markets Inc
- Publix Super Markets Inc (Publix Pharmacy #0528)
- Publix Super Markets, Inc. (Publix Pharmacy #1570)
- Mariela Puente Gonzalez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.