Publix Super Markets, INC.
Pharmacy, Community/Retail Pharmacy in Wimauma, FL. Organization (NPI-2).
NPI number1366074239
StatusActive
Last updated in NPPESJun 18, 2026
Details
- NPI
- 1366074239
- Entity type
- Organization (NPI-2)
- Legal business name
- Publix Super Markets, INC.
- Organization subpart
- No
- Enumeration date
- Feb 10, 2020
- Certification date
- Jun 18, 2026
- Last updated
- Jun 18, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Publix Pharmacy #1711 (Doing Business As)
Practice location
14323 S Us Highway 301Wimauma, FL 33598-2039
Phone 813-922-7550 · Fax 813-642-3951
Mailing address
Po Box 639680Cincinnati, OH 45263-9680
Phone 863-688-1188
Authorized official
Catherine E Scanlon
Vp Of Pharmacy
8636881188
Is something wrong?
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