Active NPI
Publix Super Markets Inc
- Community/Retail Pharmacy
- Miami, FL
National Provider Identifier
1992744866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH0016911
- Legal business name
- PUBLIX SUPER MARKETS INC
- Practice address
- 9105 S Dadeland Blvd
Miami, FL 33156-7813 - Phone
- (305) 670-8930
- Fax
- (305) 670-8933
- NPI assigned
- Jun 6, 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 | PH0016911 | FL | Primary |
Addresses
Primary practice location
9105 S Dadeland Blvd
Miami, FL 33156-7813
Mailing address
PO Box 639680
Cincinnati, OH 45263-9680
Phone (863) 688-1188
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021832400 | Medicaid | FL | |
| 2012961 | Other | PK | |
| 021832401 | Medicaid | FL |
Other names 1
- Publix Pharmacy #0658
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 |
| O20100930040046 | FL | DME Supplier - Pharmacy | 4385644673 | Practice locations: Miami, 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 0658 | 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 |
National Provider Directory
National Provider Directory- Tax ID family
- Publix Pharmacy 7413
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- 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
-
- Pharmacy
- Tampa, FL
- NPI 1992206254
-
- Community/Retail Pharmacy
- Lauderhill, FL
- NPI 1992744809
-
- Community/Retail Pharmacy
- Boca Raton, FL
- NPI 1992744908
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Orlando, FL
- NPI 1093025819
-
- Pharmacist
- Miami, FL
- NPI 1033024096
-
- Pharmacist
- Miami, FL
- NPI 1467799197
-
- Pharmacist
- Miami, FL
- NPI 1447929757
-
- Pharmacist
- Miami, FL
- NPI 1467118612
-
- Pharmacist
- Miami, FL
- NPI 1275870990
-
- Pharmacist
- Miami, FL
- NPI 1841702016
-
- Pharmacist
- Miami, FL
- NPI 1285971911
-
- Pharmacist
- Miami, FL
- NPI 1831813492
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Miami, FL
- NPI 1265218986
-
- Pharmacist
- Miami, FL
- NPI 1174932644
-
- Pharmacist
- Miami, FL
- NPI 1710597273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1992744866",
"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": "9105 S DADELAND BLVD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567813",
"telephone_number": "305-670-8930",
"fax_number": "305-670-8933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIX SUPER MARKETS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"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": "PH0016911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021832400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2012961",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021832401",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Publix Pharmacy #0658",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Publix Pharmacy #0658",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, 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.