Active NPI
Publix Super Markets, Inc.
- Community/Retail Pharmacy
- Panama City, FL
National Provider Identifier
1619795242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PUBLIX SUPER MARKETS, INC.
- Practice address
- 3213 W Highway 390
Panama City, FL 32405-2734 - Phone
- (850) 772-6597
- Fax
- (850) 250-5452
- NPI assigned
- Oct 2, 2024
- 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 | Primary |
Addresses
Primary practice location
3213 W Highway 390
Panama City, FL 32405-2734
Mailing address
PO Box 407
Lakeland, FL 33802-0407
Phone (863) 688-1188
Other names 1
- Publix Pharmacy #2034
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 |
| O20250415000246 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Panama City, 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.
-
- Community/Retail Pharmacy
- Davie, FL
- NPI 1609375286
-
- Community/Retail Pharmacy
- Key Largo, FL
- NPI 1609815513
-
- Community/Retail Pharmacy
- Fort Myers, FL
- NPI 1609815547
-
- Community/Retail Pharmacy
- Palm Springs, FL
- NPI 1609815554
-
- Community/Retail Pharmacy
- Naples, FL
- NPI 1609816040
-
- Community/Retail Pharmacy
- Saint Cloud, FL
- NPI 1609816073
-
- Community/Retail Pharmacy
- Gainesville, FL
- NPI 1609816081
-
- Community/Retail Pharmacy
- Fort Myers, FL
- NPI 1609816552
-
- Community/Retail Pharmacy
- Altamonte Springs, FL
- NPI 1609817105
-
- Community/Retail Pharmacy
- Clearwater, FL
- NPI 1619129319
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1619916525
-
- Community/Retail Pharmacy
- Palm Bay, FL
- NPI 1619916582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783468800000",
"number": "1619795242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 407",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338020407",
"telephone_number": "863-688-1188",
"fax_number": "863-616-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3213 W HIGHWAY 390",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324052734",
"telephone_number": "850-772-6597",
"fax_number": "850-250-5452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-02",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #2034",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #2034",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.