Active NPI
Publix Super Markets Inc
- Community/Retail Pharmacy
- Cocoa, FL
National Provider Identifier
1790725174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH0013279
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 7325 N US Highway 1
Cocoa, FL 32927-5006 - Phone
- (321) 635-8464
- Fax
- (321) 636-1668
- NPI assigned
- Jun 7, 2006
- 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 | PH0013279 | FL | Primary |
Addresses
Primary practice location
7325 N US Highway 1
Cocoa, FL 32927-5006
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102952500 | Medicaid | FL | |
| 2013668 | Other | PK |
Other names 1
- Publix Pharmacy #0523
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 |
| O20100930027457 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Cocoa, FL |
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
- Bonita Springs, FL
- NPI 1770523151
-
- Community/Retail Pharmacy
- Tallahassee, FL
- NPI 1770524266
-
- Pharmacy
- Jacksonville, FL
- NPI 1770813560
-
- Community/Retail Pharmacy
- Lake Worth, FL
- NPI 1780623553
-
- Community/Retail Pharmacy
- Miami, FL
- NPI 1790079853
-
- Community/Retail Pharmacy
- Casselberry, FL
- NPI 1790724607
-
- Community/Retail Pharmacy
- Neptune Beach, FL
- NPI 1790724649
-
- Community/Retail Pharmacy
- Dania Beach, FL
- NPI 1790724664
-
- Community/Retail Pharmacy
- Lakeland, FL
- NPI 1790725133
-
- Community/Retail Pharmacy
- Sebastian, FL
- NPI 1790725646
-
- Community/Retail Pharmacy
- The Villages, FL
- NPI 1790726297
-
- Community/Retail Pharmacy
- Miramar, FL
- NPI 1801835772
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Cocoa, FL
- NPI 1962740290
-
- Pharmacist
- Port Saint John, FL
- NPI 1831437995
-
- Pharmacist
- Cocoa, FL
- NPI 1073952529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1790725174",
"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": "7325 N US HIGHWAY 1",
"city": "COCOA",
"state": "FL",
"postal_code": "329275006",
"telephone_number": "321-635-8464",
"fax_number": "321-636-1668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"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": "PH0013279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102952500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2013668",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #0523",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #0523",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.