Organization · Type 2 NPI

Publix Tennessee, LLC

Community/Retail Pharmacy · Johnson City, TN

NPI number 1497345573 Active

Practice location

509 N State Of Franklin Rd Ste 20
Johnson City, TN 37604-8215

Call (423) 328-5119 Map

Fax (423) 328-1138

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	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 …

Another provider at this address

Stacy SindonPharmacist Johnson City, TN NPI 1336068220

Other community/retail pharmacy providers in Johnson City

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NPI record

NPI: 1497345573
Entity type: Organization (Type 2)
Issued: Jan 22, 2021
Last updated: Jun 16, 2026
Status: Active

Other names

<unavail>
Publix Pharmacy 1633 · doing business as
Publix Pharmacy 1633 · 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 1497345573

Publix Tennessee, LLC's National Provider Identifier is 1497345573, issued on Jan 22, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Johnson City, TN. The record was last updated on Jun 16, 2026.