Organization · Type 2 NPI

Publix Super Markets Inc

Community/Retail Pharmacy · Winter Haven, FL

NPI number 1003063520 Active

Practice location

884 Cypress Gardens Blvd
Winter Haven, FL 33880-4726

Call (863) 293-2382 Map

Fax (863) 293-4563

Mailing address

PO Box 639680
Cincinnati, OH 45263-9680

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PH23480 (FL)

Community/Retail 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 …

3 other providers at this address

Other community/retail pharmacy providers in Winter Haven

See all in Winter Haven →

NPI record

NPI: 1003063520
Entity type: Organization (Type 2)
Issued: Aug 27, 2008
Last updated: Jun 17, 2026
Status: Active

Other names

<unavail>
Publix Pharmacy #1204 · doing business as
Publix Pharmacy #1204 · doing business as

Authorized official

Catherine E Scanlon
VP of Pharmacy
(863) 688-1188

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1003063520

Publix Super Markets Inc's National Provider Identifier is 1003063520, issued on Aug 27, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Winter Haven, FL. The record was last updated on Jun 17, 2026.