Organization
PUBLIX SUPER MARKETS INC
Active
Other names
Publix Pharmacy #1214
Organization subpart
No
Provider details
NPI number
Authorized official
DAIN RUSK (VP PHARMACY)
(863) 688-1188
Entity
Organization
Contact information
Practice address
1024 HIGHWAY A1A, SUITE 100, SATELLITE BEACH, FL 32937-2342
(321) 773-7035
(321) 773-7731
Mailing address
PO BOX 639680, CINCINNATI, OH 45263-9680
(863) 688-1188
(863) 616-5846
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH23752
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000836300
—
FL
05
—
000836301
—
FL
01
—
2117995
PK
—
Enumeration date
11/25/2008
Last updated
12/06/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us