NPIMap

Organization Active NPI

Publix Store #1339

  • Pharmacist
  • Palm Coast, FL
National Provider Identifier
1457727950
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
53068 Issued in FL
Legal business name
PUBLIX STORE #1339
Practice address
4950 Belle Terre Pkwy
Palm Coast, FL 32137-8692
Phone
(434) 996-2666
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Authorized official

Name
Mary Marquis
Title
Floater Phar
Phone
(434) 996-2966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 53068 FL Primary

Addresses

Primary practice location

4950 Belle Terre Pkwy
Palm Coast, FL 32137-8692

Mailing address

4950 Belle Terre Pkwy
Palm Coast, FL 32137-8692
Phone (434) 996-2666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1457727950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BELLE TERRE PKWY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378692",
            "telephone_number": "434-996-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BELLE TERRE PKWY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378692",
            "telephone_number": "434-996-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIX STORE #1339",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "MARQUIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "FLOATER PHAR",
        "authorized_official_telephone_number": "434-996-2966"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "53068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.