Organization · Type 2 NPI

Publix Super Markets, Inc.

Community/Retail Pharmacy · New Smyrna Beach, FL

NPI number 1902361868 Active

Practice location

1930 State Road 44
New Smyrna Beach, FL 32168-8345

Call (386) 663-6095 Map

Fax (386) 478-4141

Mailing address

PO Box 116181
Atlanta, GA 30368-6181

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 …

6 other providers at this address

Other community/retail pharmacy providers in New Smyrna Beach

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NPI record

NPI: 1902361868
Entity type: Organization (Type 2)
Issued: Feb 5, 2019
Last updated: May 3, 2019
Status: Active

Other names

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Publix Pharmacy #1649 · doing business as
Publix Pharmacy #1649 · doing business as

Authorized official

Kimberly Bone
Manager Managed Care
(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 1902361868

Publix Super Markets, Inc.'s National Provider Identifier is 1902361868, issued on Feb 5, 2019. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in New Smyrna Beach, FL. The record was last updated on May 3, 2019.