Active NPI
Publix Super Markets, Inc.
- Community/Retail Pharmacy
- Kissimmee, FL
National Provider Identifier
1922535673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- PUBLIX SUPER MARKETS, INC.
- Practice address
- 3221 Vineland Rd
Kissimmee, FL 34746-4907 - Phone
- (863) 688-1188
- NPI assigned
- May 12, 2017
- 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 | Primary |
Addresses
Primary practice location
3221 Vineland Rd
Kissimmee, FL 34746-4907
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Other names 1
- Publix Pharmacy #1607
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 |
| O20171103002077 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Kissimmee, 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 Super Markets, Inc | 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
- Brandon, FL
- NPI 1902849078
-
- Community/Retail Pharmacy
- Saint Cloud, FL
- NPI 1912156571
-
- Community/Retail Pharmacy
- Deltona, FL
- NPI 1912159971
-
- Community/Retail Pharmacy
- Saint Petersburg, FL
- NPI 1912459645
-
- Community/Retail Pharmacy
- Ocala, FL
- NPI 1912826819
-
- Community/Retail Pharmacy
- North Fort Myers, FL
- NPI 1912948415
-
- Community/Retail Pharmacy
- Port Charlotte, FL
- NPI 1922048784
-
- Community/Retail Pharmacy
- Largo, FL
- NPI 1922231349
-
- Community/Retail Pharmacy
- Kissimmee, FL
- NPI 1922367291
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1922444272
-
- Community/Retail Pharmacy
- Greenacres, FL
- NPI 1932149317
-
- Community/Retail Pharmacy
- Fort Pierce, FL
- NPI 1932149366
Locations
3221 Vineland Rd
Kissimmee, FL 34746
Phone (407) 239-1852
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": "1494547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781740800000",
"number": "1922535673",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 VINELAND RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464907",
"telephone_number": "863-688-1188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-12",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #1607",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #1607",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kissimmee, 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.
- 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.