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 1417247701

Publix Super Markets Inc is a Durable Medical Equipment & Medical Supplies in Brookhaven, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

104 Town Blvd NE Ste A100
Brookhaven, GA 30319-3146
Phone: (404) 233-7480
Fax: (404) 233-7484
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE009741 (GA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1417247701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Scanlon — Vp Of Pharmacy · (863) 688-1188
Other names Publix Pharmacy #1363; Publix Pharmacy #1363
NPI enumeratedApril 8, 2011
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing addressPo Box 639680, Cincinnati, OH 45263-9680

Other providers in Brookhaven