Publix Tennessee, LLC
Pharmacy, Community/Retail Pharmacy in Johnson City, TN. Organization (NPI-2).
Details
- NPI
- 1497345573
- Entity type
- Organization (NPI-2)
- Legal business name
- Publix Tennessee, LLC
- Organization subpart
- No
- Enumeration date
- Jan 22, 2021
- Certification date
- Jun 16, 2026
- Last updated
- Jun 16, 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 1633 (Doing Business As)
Practice location
509 N State Of Franklin Rd Ste 20Johnson City, TN 37604-8215
Phone 423-328-5119 · Fax 423-328-1138
Mailing address
Po Box 639680Cincinnati, OH 45263-9680
Phone 863-688-1188
Authorized official
Catherine E Scanlon
Vp Of Pharmacy
8636881188
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Community/Retail Pharmacy providers in Johnson City · All 4,629 providers in Johnson City
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