NPIMap

Organization Active NPI

Publix

  • Community/Retail Pharmacy
  • Enterprise, AL
National Provider Identifier
1629440862
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113406 Issued in AL
Legal business name
PUBLIX
Practice address
309 Ridgeway Dr
Enterprise, AL 36330-1636
Phone
(334) 803-4359
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Mrs. Khadija F Caldwell, PHARMDNPI 1851764948
Title
Pharmacist
Phone
(334) 673-1215

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 113406 AL Primary

Addresses

Primary practice location

309 Ridgeway Dr
Enterprise, AL 36330-1636

Mailing address

309 Ridgeway Dr
Enterprise, AL 36330-1636
Phone (334) 803-4359

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1629440862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 RIDGEWAY DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301636",
            "telephone_number": "334-803-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 RIDGEWAY DR",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363301636",
            "telephone_number": "334-803-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "334-673-1215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.