Active NPI
Publix Super Markets Inc
- Community/Retail Pharmacy
- Tallahassee, FL
National Provider Identifier
1902845951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH0017172
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 5032 Capital Cir SW Ste 1
Tallahassee, FL 32305-7886 - Phone
- (850) 878-1740
- Fax
- (850) 878-2031
- NPI assigned
- Jun 5, 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 | PH0017172 | FL | Primary |
Addresses
Primary practice location
5032 Capital Cir SW Ste 1
Tallahassee, FL 32305-7886
Mailing address
PO Box 407
Lakeland, FL 33802-0407
Phone (863) 688-1188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2013200 | Other | PK | |
| 022096500 | Medicaid | FL |
Other names 1
- Publix Pharmacy #0610
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 |
| O20100930002473 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Tallahassee, FL |
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 #0610 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
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
- Loxahatchee, FL
- NPI 1891734851
-
- Community/Retail Pharmacy
- Orange City, FL
- NPI 1891735239
-
- Community/Retail Pharmacy
- Jupiter, FL
- NPI 1891735254
-
- Community/Retail Pharmacy
- Boynton Beach, FL
- NPI 1891735270
-
- Community/Retail Pharmacy
- Clermont, FL
- NPI 1891736393
-
- Community/Retail Pharmacy
- Delray Beach, FL
- NPI 1891867586
-
- Community/Retail Pharmacy
- Palm Coast, FL
- NPI 1891876942
-
- Community/Retail Pharmacy
- Davenport, FL
- NPI 1891958716
-
- Community/Retail Pharmacy
- Davie, FL
- NPI 1902146731
-
- Community/Retail Pharmacy
- Gulf Breeze, FL
- NPI 1902318231
-
- Community/Retail Pharmacy
- Lutz, FL
- NPI 1902845969
-
- Community/Retail Pharmacy
- Brandon, FL
- NPI 1902849078
Locations
5032 Capital Cir SW
Ste 1
Tallahassee, FL 32305
Phone (850) 878-1714
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Tallahassee, FL
- NPI 1235477621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1902845951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 407",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338020407",
"telephone_number": "863-688-1188",
"fax_number": "863-616-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5032 CAPITAL CIR SW STE 1",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323057886",
"telephone_number": "850-878-1740",
"fax_number": "850-878-2031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-05",
"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": "PH0017172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2013200",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022096500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #0610",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #0610",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallahassee, 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.