Organization · Type 2 NPI

Publix Super Markets Inc

Pharmacy · Jacksonville, FL

NPI number 1770813560 Active

Practice location

2875 University Blvd W
Jacksonville, FL 32217-2116

Call (904) 730-7589 Map

Fax (904) 737-4483

Mailing address

PO Box 639680
Cincinnati, OH 45263-9680

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy Primary	333600000X	PH24398 (FL)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

7 other providers at this address

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NPI record

NPI: 1770813560
Entity type: Organization (Type 2)
Issued: Dec 30, 2009
Last updated: Jun 16, 2026
Status: Active

Other names

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Publix Pharmacy #1176 · doing business as
Publix Pharmacy #1176 · 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 1770813560

Publix Super Markets Inc's National Provider Identifier is 1770813560, issued on Dec 30, 2009. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 16, 2026.