PUBLIX SUPER MARKETS INC NPI 1003010208
Pharmacy - Community/Retail Pharmacy in Parrish, FL
About PUBLIX SUPER MARKETS INC
Publix Pharmacy #1152 is a provider established in Parrish, Florida operating as a Pharmacy with a focus in community/retail pharmacy . The NPI number of this provider is 1003010208 and was assigned on June 2007. The practitioner's primary taxonomy code is 3336C0003X with license number PH22790 (FL). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Publix Pharmacy #1152. The authorized official of this NPI record is Dain Rusk (Vp Pharmacy)
| NPI | 1003010208 |
| Provider Name | PUBLIX SUPER MARKETS INC |
| Location Address | 11245 US HIGHWAY 301 N PARRISH, FL 34219 |
| Location Phone | (941) 776-0890 |
| Mailing Address | PO BOX 639680 CINCINNATI, OH 45263 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | PUBLIX PHARMACY #1152 |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 06-12-2007 |
| Last Update Date | 12-17-2021 |
Publix Pharmacy #1152 is a medicare supplier with PTAN 0775140712 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order).
The CLIA number of Publix Pharmacy #1152 is 10D2088420 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Publix Pharmacy #1152 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 3336C0003X |
| Classification | Pharmacy |
| Type | Suppliers |
| Specialization | Community/Retail Pharmacy |
| License No. | PH22790 |
| License State | FL |
| Taxonomy Description | 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 health care providers, collaborative practice, disease state management, and education classes. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
11245 US HIGHWAY 301 N
PARRISH, FL
ZIP 34219
Phone: (941) 776-0890
Fax: (941) 776-8015
Mailing Address
PO BOX 639680
CINCINNATI, OH
ZIP 45263
Phone: (863) 688-1188
Fax: (863) 616-5846
Location Map
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
| PTAN | 0775140712 |
| Accepts Medicare Assignment | YES |
| Specialities List | Pharmacy. |
| Supplies List |
|
| Competitive Bidding | NO |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003010208 is:
| CLIA Number | 10D2088420 |
| Facility Type | PHARMACY |
| Certificate Type | Certificate of Waiver |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | No | |||
Taxonomy Description: a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. | |||||||
| 2 | 333600000X | Suppliers | Pharmacy | No | |||
Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2009266 | OTHER (01) | PK | |
| 032114100 | MEDICAID (05) | FL |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 0 | 2 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 0 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 0 + 2 + 0 + 24 = 32 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 32 = 8 | 8 | ||||||||
The NPI number 1003010208 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689911638 | MRS. DU PHU LE PHARM D Individual | Pharmacist | 11245 US HIGHWAY 301 N PARRISH, FL 34219 (941) 776-0890 |
| 1144568478 | DR. JESSICA LEE JOHNSON RPH Individual | Pharmacist | 11245 US HIGHWAY 301 N PARRISH, FL 34219 (941) 776-0890 |
| 1639575657 | DR. VANG MAI PHARMD Individual | Pharmacist | 11245 US HIGHWAY 301 N PARRISH, FL 34219 (941) 776-8326 |
| 1356011852 | NAM THANH VU PHARMD Individual | Pharmacist | 11245 US HIGHWAY 301 N PARRISH, FL 34219 (941) 776-0890 |
Frequently Asked Questions
What is PUBLIX PHARMACY #1152 NPI number?
The NPI number assigned to this healthcare provider is 1003010208, registered as an "organization" on June 12, 2007
Where is PUBLIX PHARMACY #1152 located?
The provider is located at 11245 Us Highway 301 N Parrish, Fl 34219 and the phone number is (941) 776-0890
What kind of medical provider is PUBLIX PHARMACY #1152?
This medical organization specializes in Pharmacy with a focus in Community/Retail Pharmacy
What insurance does PUBLIX PHARMACY #1152 accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
What is PUBLIX PHARMACY #1152 CLIA number?
The provider's CLIA number is 10D2088420 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
How do I update my NPI information?
The NPI record of PUBLIX PHARMACY #1152 was last updated on June 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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