Publix Super Markets, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28651 Issued in FL

Legal business name

PUBLIX SUPER MARKETS, INC.

Practice address

2771 Monument Rd Ste 19
Jacksonville, FL 32225-3547

Phone

(904) 641-1451

Fax

(904) 641-5314

NPI assigned

Jun 7, 2006

Organization subpart

No

Name

Catherine E Scanlon

Title

VP of Pharmacy

Phone

(863) 688-1188

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

• Raymond Enderby

  • Pharmacist
  • Jacksonville, FL
  • NPI 1609113497
  NPD (past)
• Steven Theodore Mougeot, PHARMD

  • Pharmacist
  • Jacksonville, FL
  • NPI 1093053498
  NPD (past)

These 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

Medicare fee-for-service enrollment

Enrolled in TX, FL2 enrollments

Enrollment records 2

Tax ID family

Publix Pharmacy 74131,155 organizations share this tax ID, including this one

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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Englewood, FL
  • NPI 1770522542
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Bonita Springs, FL
  • NPI 1770523151
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Tallahassee, FL
  • NPI 1770524266
  NPD tax ID
• Publix Super Markets Inc

  • Pharmacy
  • Jacksonville, FL
  • NPI 1770813560
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Lake Worth, FL
  • NPI 1780623553
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1790079853
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Casselberry, FL
  • NPI 1790724607
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Neptune Beach, FL
  • NPI 1790724649
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Dania Beach, FL
  • NPI 1790724664
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Lakeland, FL
  • NPI 1790725133
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Cocoa, FL
  • NPI 1790725174
  NPD tax ID
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Sebastian, FL
  • NPI 1790725646
  NPD tax ID

Locations

• Publix Pharmacy #1468 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2026.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1790725166",
    "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": "2771 MONUMENT RD STE 19",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253547",
            "telephone_number": "904-641-1451",
            "fax_number": "904-641-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIX SUPER MARKETS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "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": "FL",
            "license": "PH28651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014495600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014495601",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2006230",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Publix Pharmacy #1468",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Publix Pharmacy #1468",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Publix Super Markets, Inc
• Publix Super Markets, Inc.
• Publix Super Markets, Inc.
• Publix Super Markets, Inc.
• Publix Super Markets, Inc.
• Brett Christopher Puckett, MD
• Todd Trabor Puckett, D.M.D.
• Puddle of Hearts Homecare LLC
• Enya Fernandez Pudpud
• Romelia Puel, RPH

• All providers in Jacksonville, FL
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.