Publix

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PS43863 Issued in FL

Legal business name

PUBLIX

Practice address

12195 S Orange Blossom TRL
Orlando, FL 32837-6502

Phone

(407) 816-4233

NPI assigned

Apr 17, 2015

Last updated

Apr 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gina Conigliaro

Title

Pharmacist

Phone

(407) 491-5149

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1730576745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12195 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376502",
            "telephone_number": "407-816-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12195 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376502",
            "telephone_number": "407-816-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "CONIGLIARO",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "407-491-5149"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS43863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychology & Developmental Clinic, LLC
• Psychology and Counseling Group, LLP
• Psynergy Health Med PLLC
• PT at Orlando LLC
• Public Safety Wellness Foundation, Inc.
• Publix Super Markets Inc (Publix Pharmacy #0830)
• Publix Super Markets Inc (Publix Pharmacy #1131)
• Publix Super Markets Inc (Publix Pharmacy #1092)
• Publix Super Markets Inc (Publix Pharmacy #1440)
• Publix Super Markets Inc (Publix Pharmacy #0436)

• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.