Active NPI
Publix Alabama LLC
- Community/Retail Pharmacy
- Daphne, AL
National Provider Identifier
1699075432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 13405
- Legal business name
- PUBLIX ALABAMA LLC
- Practice address
- 27955 US Highway 98 Ste H
Daphne, AL 36526-4727 - Phone
- (251) 626-1349
- Fax
- (251) 626-1416
- NPI assigned
- Oct 27, 2010
- 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 | 13405 | AL | Primary |
Addresses
Primary practice location
27955 US Highway 98 Ste H
Daphne, AL 36526-4727
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126261 | Medicaid | AL | |
| 2127342 | Other | PK |
Other names 1
- Publix Pharmacy #1362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070118000254 | TX | Part B Supplier - Centralized Flu Biller | 1355342395 |
This NPI is an additional NPI on the enrollment Practice locations: Lakeland, FL; Montgomery, AL; Northport, AL; Pell City, AL; Phenix City, AL; Pinson, AL; Prattville, AL; Tuscaloosa, AL… |
| O20110415000506 | AL | DME Supplier - Pharmacy | 1355342395 | Practice locations: Daphane, AL |
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2086983 | Publix Pharmacy #1362 | Certificate of waiver | Nov 13, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Publix Pharmacy #1362 | 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 Alabama LLC
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
- Guntersville, AL
- NPI 1598169625
-
- Community/Retail Pharmacy
- Auburn, AL
- NPI 1598496275
-
- Community/Retail Pharmacy
- Fairhope, AL
- NPI 1609003441
-
- Community/Retail Pharmacy
- Hoover, AL
- NPI 1609817196
-
- Community/Retail Pharmacy
- Hoover, AL
- NPI 1639324734
-
- Community/Retail Pharmacy
- Athens, AL
- NPI 1649117680
-
- Community/Retail Pharmacy
- Auburn, AL
- NPI 1659698785
-
- Community/Retail Pharmacy
- Pelham, AL
- NPI 1669635587
-
- Community/Retail Pharmacy
- Mountain BRK, AL
- NPI 1679513006
-
- Community/Retail Pharmacy
- Madison, AL
- NPI 1689614000
-
- Community/Retail Pharmacy
- Mobile, AL
- NPI 1730525098
-
- Community/Retail Pharmacy
- Birmingham, AL
- NPI 1740220177
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
27955 US Highway 98
Ste H
Daphne, AL 36526
Phone (251) 626-1349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1699075432",
"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": "27955 US HIGHWAY 98 STE H",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264727",
"telephone_number": "251-626-1349",
"fax_number": "251-626-1416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX ALABAMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-27",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"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": "AL",
"license": "13405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126261",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2127342",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #1362",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #1362",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.