Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Publix Super Markets Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1083654552

Publix Super Markets Inc is a Durable Medical Equipment & Medical Supplies in Fayetteville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 Pavilion Pkwy
Fayetteville, GA 30214-4056
Phone: (770) 460-4106
Fax: (770) 716-0674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE008019 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1083654552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Scanlon — Vp Of Pharmacy · (863) 688-1188
Other names Publix Pharmacy #0579; Publix Pharmacy #0579
NPI enumeratedJune 6, 2006
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing addressPo Box 639680, Cincinnati, OH 45263-9680

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