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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PUBLIX SUPER MARKETS INC
NPI 1023104890
Pharmacy - Community/Retail Pharmacy in Summerville, SC

Active since October 05, 2006
1585 CENTRAL AVE, SUITE A, SUMMERVILLE, SC 29483(843) 832-4247(843) 832-4325 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2026, Nov 18, 2019, Mar 29, 2017 (3 updates tracked since 2017).

About Publix Super Markets Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUBLIX SUPER MARKETS INC (NPI 1023104890), doing business as Publix Pharmacy #1120, is a healthcare organization registered as a community/retail pharmacy in Summerville, South Carolina and active in the NPI registry since October 2006. The organization lists Catherine E Scanlon, Vp Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1023104890
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePUBLIX SUPER MARKETS INC
Location Address1585 CENTRAL AVE, SUITE ASummerville, SC 29483-5587
Mailing AddressPo Box 639680Cincinnati, OH 45263-9680 · (863) 688-1188 · Fax (863) 616-5846
Phone(843) 832-4247
Fax(843) 832-4325
Organization SubpartNo
Authorized OfficialCatherine E ScanlonVp Of Pharmacy · (863) 688-1188
Enumeration DateOctober 5, 2006
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1023104890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in SC · 50009128
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
1585 CENTRAL AVE, Summerville, SC 29483
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Other Names 1

Doing Business AsPublix Pharmacy #1120

Other Identifiers 2

Medicaid791282SC
Other2093088Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
232 services227 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
210 services210 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
21 services21 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Publix Pharmacy #1120 carries, from the Medicare DMEPOS supplier directory.

Publix Pharmacy #1120

DMEPOS supplier · Summerville, SCOperated by Publix Super Markets, Inc
✔

Accepts Medicare assignment

Publix Pharmacy #1120 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20471237
Medicare Participant SinceDecember 7, 2016
Supplier Location1585 Central Ave Ste ASummerville, SC 29483
Phone(843) 832-4247
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LISA MARIA DUBCZAK RPH
Pharmacist
1585 CENTRAL AVE, SUITE A
SUMMERVILLE, SC 29483
Berkeley County (843) 832-4247
MRS. LAURIE A MCNULTY RPH
Pharmacist
1585 CENTRAL AVE
SUMMERVILLE, SC 29483
Berkeley County (843) 832-4247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Publix Super Markets Inc's NPI number?

The NPI number for Publix Super Markets Inc is 1023104890. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Publix Pharmacy #1120.

Where is Publix Super Markets Inc located?

Publix Super Markets Inc is located at 1585 Central Ave Suite A, Summerville, SC 29483. The listed phone number is (843) 832-4247.

What is Publix Super Markets Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Publix Super Markets Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Publix Pharmacy #1120 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Publix Super Markets Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Home State Health and 40 other insurers list Publix Super Markets Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Publix Super Markets Inc was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.