Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PUBLIX SUPER MARKETS INC
NPI 1184663072
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Active since June 06, 2006
13820 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258(904) 262-5446(904) 262-5488 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2019, Mar 20, 2017 (2 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 1184663072), doing business as Publix Pharmacy #1105, is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since June 2006. The organization lists Catherine E Scanlon, Vp Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1184663072
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePUBLIX SUPER MARKETS INC
Location Address13820 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-5427
Mailing AddressPo Box 639680Cincinnati, OH 45263-9680 · (863) 688-1188 · Fax (863) 616-5846
Fax(904) 262-5488
Organization SubpartNo
Authorized OfficialCatherine E ScanlonVp Of Pharmacy · (863) 688-1188
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
NPI 1184663072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in FL · PH0020880
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
13820 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

Other Names 1

Doing Business AsPublix Pharmacy #1105

Other Identifiers 3

Medicaid028184101FL
Medicaid028184100FL
Other2009141Pk

Accepted 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.
188 services188 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.
179 services179 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.
15 services15 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.
15 services15 patients

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.

Dentist (General Practice)
13820 OLD SAINT AUGUSTINE RD, 105
JACKSONVILLE, FL 32258
Pharmacist
13820 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

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 1184663072. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is doing business as Publix Pharmacy #1105.

Where is Publix Super Markets Inc located?

Publix Super Markets Inc is located at 13820 Old Saint Augustine Rd, Jacksonville, FL 32258. The listed phone number is (904) 262-5446.

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.

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 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.