Active NPI
Publix Super Markets Inc
- Community/Retail Pharmacy
- New Smyrna Beach, FL
National Provider Identifier
1871733196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 1930 State Road 44
New Smyrna Beach, FL 32168-8345 - Phone
- (386) 423-1173
- Fax
- (386) 423-9475
- NPI assigned
- Feb 26, 2009
- 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 | PH23962 | FL | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1930 State Road 44
New Smyrna Beach, FL 32168-8345
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2119206 | Other | PK | |
| 001739500 | Medicaid | FL |
Other names 1
- Publix Pharmacy #1649
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 |
| O20100930036503 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: New Smyrna Beach, 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
- Gulf Breeze, FL
- NPI 1861663262
-
- Community/Retail Pharmacy
- Tallahassee, FL
- NPI 1861709651
-
- Pharmacy
- Fort Myers, FL
- NPI 1861720468
-
- Community/Retail Pharmacy
- Tallahassee, FL
- NPI 1861745325
-
- Community/Retail Pharmacy
- Brandon, FL
- NPI 1871036566
-
- Community/Retail Pharmacy
- Lighthouse Point, FL
- NPI 1871532648
-
- Community/Retail Pharmacy
- Sandestin, FL
- NPI 1871532838
-
- Community/Retail Pharmacy
- Bradenton, FL
- NPI 1871533257
-
- Pharmacy
- Lutz, FL
- NPI 1871748970
-
- Pharmacy
- Pensacola, FL
- NPI 1871805440
-
- Community/Retail Pharmacy
- West Palm Beach, FL
- NPI 1871815324
-
- Community/Retail Pharmacy
- Tarpon Springs, FL
- NPI 1871819276
Locations
1930 State Road 44
New Smyrna Beach, FL 32168
Phone (386) 423-1173
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1871733196",
"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": "1930 STATE ROAD 44",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321688345",
"telephone_number": "386-423-1173",
"fax_number": "386-423-9475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-26",
"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": "FL",
"license": "PH23962",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2119206",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001739500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #1649",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Smyrna Beach, FL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.