1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Pharmacy
  6. NPI Profile

PUBLIX SUPER MARKETS INC
NPI 1093754046
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Active since June 05, 2006CLIA 10D1021181 · Waiver
4765 HODGES BLVD, JACKSONVILLE, FL 32224(904) 223-5932(904) 223-6912 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Publix Super Markets Inc NPPES

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

PUBLIX SUPER MARKETS INC (NPI 1093754046), doing business as Publix Pharmacy #0713, is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Catherine E Scanlon, Vp Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1093754046
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePUBLIX SUPER MARKETS INC
Location Address4765 HODGES BLVDJacksonville, FL 32224-5280
Mailing AddressPo Box 639680Cincinnati, OH 45263-9680 · (863) 688-1188 · Fax (863) 616-5846
Phone(904) 223-5932
Fax(904) 223-6912
Organization SubpartNo
Authorized OfficialCatherine E ScanlonVp Of Pharmacy · (863) 688-1188
Enumeration DateJune 5, 2006
Last NPPES UpdateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1093754046 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 FL · PH0017161
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
4765 HODGES BLVD, Jacksonville, FL 32224
Open in Google Maps ↗

Other Names 1

Doing Business AsPublix Pharmacy #0713

Other Identifiers 2

Medicaid022089200FL
Other2013199Pk

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 ›

CLIA Laboratory Certificates CMS CLIA

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 10D1021181

Publix Pharmacy #0713 · Jacksonville, FL
Active · expires Aug 18, 2026
CLIA Number10D1021181
Laboratory TypePharmacy
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorAllison Bassett
Laboratory Phone(904) 223-5932
Laboratory LocationPublix Pharmacy #07134765 Hodges Blvd, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
158 services157 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.
146 services146 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Publix Pharmacy #0393 carries, from the Medicare DMEPOS supplier directory.

Publix Pharmacy #0393

DMEPOS supplier · Jacksonville, FLOperated by Publix Super Markets, Inc
✔

Accepts Medicare assignment

Publix Pharmacy #0393 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)20469311
Medicare Participant SinceDecember 7, 2016
Supplier Location11250-4 Old St Augustine RdJacksonville, FL 32223
Phone(904) 262-4250
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 5

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

DR. NATALIE KLINE STONE
Pharmacist
4765 HODGES BLVD
JACKSONVILLE, FL 32224
Duval County (904) 223-5932
HOPFAM, INC.
Hearing Aid Equipment
4765 HODGES BLVD, STE 14
JACKSONVILLE, FL 32224
Duval County (423) 667-9114
ALISON KAY ALLOUSH PHARM.D
Pharmacist
4765 HODGES BLVD
JACKSONVILLE, FL 32224
Duval County (904) 223-5932
DR. PHILIP MICHAEL JONES PHARMD
Pharmacist
4765 HODGES BLVD
JACKSONVILLE, FL 32224
Duval County (904) 223-5932
DR. JOHN H PERRIN D.M.D.
Dentist (General Practice)
4765 HODGES BLVD, STE. 5
JACKSONVILLE, FL 32224
Duval County (904) 992-9396

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 1093754046. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Publix Pharmacy #0713.

Where is Publix Super Markets Inc located?

Publix Super Markets Inc is located at 4765 Hodges Blvd, Jacksonville, FL 32224. The listed phone number is (904) 223-5932.

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 #0393 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Publix Super Markets Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1021181) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 42 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 June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 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.