PUBLIX PHARMACY #1301 – NPI #1386893782
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

PUBLIX PHARMACY #1301 is a pharmacy located in COOPER CITY, FL. NPPES has assigned the NPI number 1386893782 to PUBLIX PHARMACY #1301 on September 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PUBLIX PHARMACY #1301” is a dba name, the actual legal business name for this organization is PUBLIX SUPER MARKETS INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 7 years ago on Dec 03, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PUBLIX PHARMACY #1301 below.

NPI Profile for
PUBLIX SUPER MARKETS INC

NPI Number
1386893782
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PUBLIX SUPER MARKETS INC
Doing Business As (dba): PUBLIX PHARMACY #1301
Primary location
10018 GRIFFIN RD
COOPER CITY, FL 33328-3301
Phone: (954) 434-5733 Fax: (954) 434-5738
Mailing address
PO BOX 639680
CINCINNATI, OH 45263-9680
Phone: (863) 688-1188 Fax: (863) 616-5846
Organization Subpart
No
Authorized Official
DAIN RUSK
VP PHARMACY
Phone: (863) 688-1188
Updated
Identifiers

Identifiers for PUBLIX PHARMACY #1301

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2117160
MEDICAIDFL000683600
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
FL PH23671
333600000X
- Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.