Active NPI
Publix Super Markets Inc
- Pharmacy
- Naples, FL
National Provider Identifier
1457586810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH24045
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 12975 Collier Blvd
Naples, FL 34116-4004 - Phone
- (239) 348-7806
- Fax
- (239) 352-8120
- NPI assigned
- May 28, 2009
- 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 | PH24045 | FL | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
12975 Collier Blvd
Naples, FL 34116-4004
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001879300 | Medicaid | FL | |
| 2120458 | Other | PK |
Other names 1
- Publix Pharmacy #1208
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 |
| O20100930099655 | 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 #1208 | 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
- New Port Richey, FL
- NPI 1447291943
-
- Community/Retail Pharmacy
- Key West, FL
- NPI 1447299318
-
- Community/Retail Pharmacy
- Cape Coral, FL
- NPI 1447299359
-
- Community/Retail Pharmacy
- West Palm Beach, FL
- NPI 1447299409
-
- Community/Retail Pharmacy
- Pensacola, FL
- NPI 1447494828
-
- Community/Retail Pharmacy
- Loxahatchee Groves, FL
- NPI 1447603766
-
- Community/Retail Pharmacy
- Middleburg, FL
- NPI 1457390403
-
- Community/Retail Pharmacy
- Cape Coral, FL
- NPI 1457390411
-
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1457390460
-
- Community/Retail Pharmacy
- Miami, FL
- NPI 1457390494
-
- Community/Retail Pharmacy
- Tampa, FL
- NPI 1457392953
-
- Community/Retail Pharmacy
- Boynton Beach, FL
- NPI 1457455073
Locations
12975 Collier Blvd
Naples, FL 34116
Phone (239) 455-4181
Networks
- Freedom Health HMO 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.
-
- Pharmacist
- Naples, FL
- NPI 1649592916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781654400000",
"number": "1457586810",
"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": "12975 COLLIER BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341164004",
"telephone_number": "239-348-7806",
"fax_number": "239-352-8120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-28",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"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": "FL",
"license": "PH24045",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001879300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2120458",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #1208",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #1208",
"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 17, 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.