Organization · Type 2 NPI

Publix Super Markets Inc

Community/Retail Pharmacy · Conyers, GA

NPI number 1962441832 Active

Practice location

2159 Highway 20 SE
Conyers, GA 30013-2028

Call (770) 918-2506 Map

Fax (770) 761-9496

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	PHRE009849 (GA)

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 …

4 other providers at this address

Other community/retail pharmacy providers in Conyers

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NPI record

NPI: 1962441832
Entity type: Organization (Type 2)
Issued: Jun 6, 2006
Last updated: Jul 1, 2026
Status: Active

Other names

<unavail>
Publix Pharmacy #1411 · doing business as
Publix Pharmacy #1411 · 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 1962441832

Publix Super Markets Inc's National Provider Identifier is 1962441832, issued on Jun 6, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Conyers, GA. The record was last updated on Jul 1, 2026.