Organization · Type 2 NPI

Publix Super Markets Inc

Community/Retail Pharmacy · Fort Mill, SC

NPI number 1083964829 Active

Practice location

928 Gold Hill Rd
Fort Mill, SC 29708-7947

Call (803) 548-7917 Map

Fax (865) 214-2869

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	14207 (SC)

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 Fort Mill

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NPI record

NPI: 1083964829
Entity type: Organization (Type 2)
Issued: Sep 19, 2012
Last updated: Jul 7, 2026
Status: Active

Other names

<unavail>
Publix Pharmacy #1419 · doing business as
Publix Pharmacy #1419 · 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.

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About NPI 1083964829

Publix Super Markets Inc's National Provider Identifier is 1083964829, issued on Sep 19, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Fort Mill, SC. The record was last updated on Jul 7, 2026.