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PUBLIX PHARMACY #0648
NPI 1083653042
Pharmacy - Community/Retail Pharmacy in Ft Myers, FL

Active since June 05, 2006CLIA Certified · 36 labs
20321 SUMMERLIN RD, FT MYERS, FL 33908(239) 454-1704(239) 454-3319 Get Directions Write a Review

NPPES record last updated: December 6, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Publix Pharmacy #0648 NPPES

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

PUBLIX PHARMACY #0648 (NPI 1083653042) is a healthcare organization registered as a community/retail pharmacy in Ft Myers, Florida and active in the NPI registry since June 2006. The organization holds 36 active CLIA laboratory certificates and lists Sarah Pope, Contract Administrator, as its authorized official.

NPPES Registry Identity

NPI1083653042
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePUBLIX SUPER MARKETS INC
Location Address20321 SUMMERLIN RDFt Myers, FL 33908-3706
Mailing Address20321 Summerlin RdFt Myers, FL 33908-3706
Phone(239) 454-1704
Fax(239) 454-3319
Organization SubpartNo
Authorized OfficialSarah PopeContract Administrator · (863) 688-1188
Enumeration DateJune 5, 2006
Last NPPES UpdateDecember 6, 2007
✔ NPI 1083653042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedPharmacyTaxonomy 333600000X · License PH0019172 (FL)
20321 SUMMERLIN RD, Ft Myers, FL 33908
Open in Google Maps ↗

Other Names 1

Doing Business AsPublix Pharmacy #0648

Other Identifiers 3

Other1098474Other Id Number-commercial Number
Medicare NSC0775140544
Medicare PINPHC056

CLIA Laboratory Certificates CMS CLIA 36

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2201730

Publix Pharmacy #1756 · Pike Road, AL
Active · expires Nov 22, 2028
CLIA Number01D2201730
Laboratory TypePharmacy
Certificate Effective DateNovember 23, 2026
Certificate Expiration DateNovember 22, 2028
Laboratory DirectorDr. Allison M. Bassett
Laboratory Phone(863) 688-1188
Laboratory LocationPublix Pharmacy #1756915 Vaughn Road, Pike Road, AL 36064
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2086780

Publix Pharmacy # 1726 Publix Alabama, LLC · Madison, AL
Active · expires Nov 11, 2028
CLIA Number01D2086780
Laboratory TypePharmacy
Certificate Effective DateNovember 12, 2026
Certificate Expiration DateNovember 11, 2028
Laboratory DirectorDr. Allison M. Bassett
Laboratory Phone(863) 688-1188
Laboratory LocationPublix Pharmacy # 1726 Publix Alabama, LLC417 John Henry Way, Madison, AL 35757
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2156419

Publix Pharmacy #1650 · Saraland, AL
Active · expires Oct 16, 2028
CLIA Number01D2156419
Laboratory TypePharmacy
Certificate Effective DateOctober 17, 2026
Certificate Expiration DateOctober 16, 2028
Laboratory DirectorDr. Allison M. Bassett
Laboratory Phone(863) 688-1188
Laboratory LocationPublix Pharmacy #165021 Shell Rd, Saraland, AL 36571
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2118795

Publix Pharmacy #0103 · Seffner, FL
Active · expires Sep 13, 2028
CLIA Number10D2118795
Laboratory TypePharmacy
Certificate Effective DateSeptember 14, 2026
Certificate Expiration DateSeptember 13, 2028
Laboratory DirectorTanisha White
Laboratory Phone(863) 688-1188
Laboratory LocationPublix Pharmacy #010311782 E Dr Mlk Jr Blvd, Seffner, FL 33584
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2154083

Publix Pharmacy #1638 · Madison, AL
Active · expires Sep 5, 2028
CLIA Number01D2154083
Laboratory TypePharmacy
Certificate Effective DateSeptember 6, 2026
Certificate Expiration DateSeptember 5, 2028
Laboratory DirectorDr. Allison M. Bassett
Laboratory Phone(863) 688-1188
Laboratory LocationPublix Pharmacy #1638350 Hughes Road, Madison, AL 35758
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 01D2349325

Publix Pharmacy 2145 · Athens, AL
Active · expires Aug 18, 2028
CLIA Number01D2349325
Laboratory TypePharmacy
Certificate Effective DateAugust 19, 2026
Certificate Expiration DateAugust 18, 2028
Laboratory DirectorDr. Matthew B. Luttrell
Laboratory Phone(863) 688-1188
Laboratory LocationPublix Pharmacy 214514210 Mooresville Rd, Athens, AL 35613
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MRS. MARGARET G KING R.PH.
Pharmacist
20321 SUMMERLIN RD
FORT MYERS, FL 33908
Lee County (239) 454-0145
DR. ERIC ANTETOMASO PHARMD.
Pharmacist
20321 SUMMERLIN RD
FORT MYERS, FL 33908
Lee County (585) 414-6126

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 1083653042. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Publix Pharmacy #0648.

Where is Publix Super Markets Inc located?

Publix Super Markets Inc is located at 20321 Summerlin Rd, Ft Myers, FL 33908. The listed phone number is (239) 454-1704.

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 hold CLIA laboratory certificates?

Yes. 36 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Publix Super Markets Inc was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.