# PUBLIX SUPER MARKETS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Publix Pharmacy \#2100
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902604770
- **Authorized official:** CATHERINE E SCANLON (VP OF PHARMACY)
- **Authorized official phone:** (863) 688-1188

## Contact information

- **Practice address:** 1311 FORK SHOALS RD, MAULDIN, SC 29605
- **Practice address phone:** (864) 248-1293
- **Practice address fax:** (864) 551-2119
- **Mailing address:** PO BOX 407, LAKELAND, FL 33802-0407
- **Mailing address phone:** (863) 688-1188
- **Mailing address fax:** (863) 616-5810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 07/08/2026