PUBLIX
NPI 1629440862
Pharmacy - Community/Retail Pharmacy in Enterprise, AL

Q: What is Publix's NPI number?

The NPI number for Publix is 1629440862. It was assigned to this organization in the NPPES registry on October 27, 2015.

Q: What is Publix's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Publix was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 27, 2015CLIA 01D2086979 · Waiver

309 RIDGEWAY DR, ENTERPRISE, AL 36330(334) 803-4359 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Publix NPPES

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

PUBLIX (NPI 1629440862) is a healthcare organization registered as a community/retail pharmacy in Enterprise, Alabama and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Khadija F Caldwell, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1629440862

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePUBLIX

Location Address309 RIDGEWAY DREnterprise, AL 36330-1636

Mailing Address309 Ridgeway DrEnterprise, AL 36330-1636 · (334) 803-4359

Phone(334) 803-4359

Organization SubpartNo

Authorized OfficialKhadija F CaldwellPharmacist · (334) 673-1215

Enumeration DateOctober 27, 2015

✔ NPI 1629440862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in AL · 113406

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.

309 RIDGEWAY DR, Enterprise, AL 36330

Open in Google Maps ↗

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 01D2086979

Publix Pharmacy #1402 · Enterprise, AL

Active · expires Nov 13, 2026

CLIA Number01D2086979

Laboratory TypePharmacy

Certificate Effective DateNovember 14, 2024

Certificate Expiration DateNovember 13, 2026

Laboratory DirectorDr. Allison M. Bassett

Laboratory Phone(334) 348-1526

Laboratory LocationPublix Pharmacy #1402847 Boll Weevil Circle Suite 112, Enterprise, AL 36330

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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's NPI number?

The NPI number for Publix is 1629440862. It was assigned to this organization in the NPPES registry on October 27, 2015.

Where is Publix located?

Publix is located at 309 Ridgeway Dr, Enterprise, AL 36330. The listed phone number is (334) 803-4359.

What is Publix's specialty?

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

Does Publix hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2086979) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Publix was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.