Organization · Type 2 NPI

Publix Super Markets Inc

Community/Retail Pharmacy · Lake Mary, FL

NPI number 1285886242 Active

Practice location

870 Village Oak Ln
Lake Mary, FL 32746-4766

Call (407) 804-1963 Map

Fax (407) 804-1973

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	PH23687 (FL)
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 …

5 other providers at this address

Other community/retail pharmacy providers in Lake Mary

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NPI record

NPI: 1285886242
Entity type: Organization (Type 2)
Issued: Oct 21, 2008
Last updated: Jun 17, 2026
Status: Active

Other names

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Publix Pharmacy #1304 · doing business as
Publix Pharmacy #1304 · 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 1285886242

Publix Super Markets Inc's National Provider Identifier is 1285886242, issued on Oct 21, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lake Mary, FL. The record was last updated on Jun 17, 2026.