Organization · Type 2 NPI

Publix Super Markets, Inc.

Community/Retail Pharmacy · Bainbridge, GA

NPI number 1093508517 Active

Practice location

1515 Tallahassee Hwy
Bainbridge, GA 39819

Call (229) 442-6101 Map

Fax (229) 400-9067

Mailing address

PO Box 407
Lakeland, FL 33802-0407

Specialties and licenses

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

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 …

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NPI record

NPI: 1093508517
Entity type: Organization (Type 2)
Issued: May 27, 2025
Last updated: Jul 8, 2026
Status: Active

Other names

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Publix Pharmacy #2109 · doing business as
Publix Pharmacy #2109 · 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 1093508517

Publix Super Markets, Inc.'s National Provider Identifier is 1093508517, issued on May 27, 2025. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Bainbridge, GA. The record was last updated on Jul 8, 2026.