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 1538109483

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

Licensed in
FL
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

4495 Roosevelt Blvd Ste 103
Jacksonville, FL 32210-3390
Phone: (904) 388-1303
Fax: (904) 388-4713
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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 PH0016051 (FL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1538109483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Catherine Scanlon — Vp Of Pharmacy · (863) 688-1188
Other names Publix Pharmacy #0631; Publix Pharmacy #0631
NPI enumeratedJune 8, 2006
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing addressPo Box 639680, Cincinnati, OH 45263-9680

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