Active NPI
Publix Super Markets Inc
- Pharmacy
- Tampa, FL
National Provider Identifier
1992206254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH31328
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 10015 N Dale Mabry Hwy
Tampa, FL 33618-4409 - Phone
- (813) 392-4207
- Fax
- (813) 337-6097
- NPI assigned
- Feb 22, 2018
- 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 | PH31328 | FL | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
10015 N Dale Mabry Hwy
Tampa, FL 33618-4409
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176258 | Other | PK |
Other names 1
- Publix Pharmacy #0840
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 |
| O20180622001770 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Tampa, 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 20
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Retail Pharmacy
- Orlando, FL
- NPI 1982643839
-
- Community/Retail Pharmacy
- Miami, FL
- NPI 1982643854
-
- Community/Retail Pharmacy
- West Palm Beach, FL
- NPI 1982643896
-
- Community/Retail Pharmacy
- Ormond Beach, FL
- NPI 1982644324
-
- Community/Retail Pharmacy
- Deerfield Beach, FL
- NPI 1982644357
-
- Community/Retail Pharmacy
- Lutz, FL
- NPI 1982644365
-
- Community/Retail Pharmacy
- North Port, FL
- NPI 1982644399
-
- Community/Retail Pharmacy
- Fort Myers, FL
- NPI 1982644837
-
- Community/Retail Pharmacy
- Winter Springs, FL
- NPI 1982645487
-
- Community/Retail Pharmacy
- St Augustine, FL
- NPI 1982973756
-
- Community/Retail Pharmacy
- Boynton Beach, FL
- NPI 1992196737
-
- Community/Retail Pharmacy
- Lauderhill, FL
- NPI 1992744809
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782259200000",
"number": "1992206254",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10015 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184409",
"telephone_number": "813-392-4207",
"fax_number": "813-337-6097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-22",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"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": "PH31328",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2176258",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #0840",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #0840",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.