Active NPI
Publix Super Markets Inc
- Community/Retail Pharmacy
- Boynton Beach, FL
National Provider Identifier
1891735270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH0013000
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 6627 Boynton Beach Blvd
Boynton Beach, FL 33437-3526 - Phone
- (561) 731-2070
- Fax
- (561) 731-2618
- 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 | PH0013000 | FL | Primary |
Addresses
Primary practice location
6627 Boynton Beach Blvd
Boynton Beach, FL 33437-3526
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013010 | Other | PK | |
| 103249600 | Medicaid | FL |
Other names 1
- Publix Pharmacy #0484
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 |
| O20100930090474 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Boynton 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.
-
- Pharmacy
- Ponte Vedra, FL
- NPI 1891026399
-
- Community/Retail Pharmacy
- Miami Beach, FL
- NPI 1891048625
-
- Pharmacy
- North Miami, FL
- NPI 1891207007
-
- Community/Retail Pharmacy
- Cocoa Beach, FL
- NPI 1891297362
-
- Community/Retail Pharmacy
- Saint Petersburg, FL
- NPI 1891585832
-
- Community/Retail Pharmacy
- Deltona, FL
- NPI 1891734844
-
- Community/Retail Pharmacy
- Loxahatchee, FL
- NPI 1891734851
-
- Community/Retail Pharmacy
- Orange City, FL
- NPI 1891735239
-
- Community/Retail Pharmacy
- Jupiter, FL
- NPI 1891735254
-
- Community/Retail Pharmacy
- Clermont, FL
- NPI 1891736393
-
- Community/Retail Pharmacy
- Delray Beach, FL
- NPI 1891867586
-
- Community/Retail Pharmacy
- Palm Coast, FL
- NPI 1891876942
Locations
6627 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 731-2070
Networks
- HealthSun Health Plans Network
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Boynton Beach, FL
- NPI 1083178131
-
- Pharmacist
- Boynton Beach, FL
- NPI 1538797956
-
- Pharmacist
- Boynton Beach, FL
- NPI 1144567330
-
- Pharmacist
- Boynton Beach, FL
- NPI 1528571361
-
- Pharmacist
- Boynton Beach, FL
- NPI 1154929040
-
- Pharmacist
- Boynton Beach, FL
- NPI 1699292078
-
- Pharmacist
- Boynton Beach, FL
- NPI 1346587417
-
- Pharmacist
- Boynton Beach, FL
- NPI 1427970482
-
- Pharmacist
- Boynton Beach, FL
- NPI 1235476052
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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Publix Pharmacy #0484 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order) | Accepts assignment |
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": "1891735270",
"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": "6627 BOYNTON BEACH BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373526",
"telephone_number": "561-731-2070",
"fax_number": "561-731-2618"
}
],
"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": "PH0013000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2013010",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103249600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #0484",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #0484",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boynton Beach, 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.
- 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.