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

PUBLIX TENNESSEE, LLC
NPI 1629768957
Pharmacy - Community/Retail Pharmacy in Ooltewah, TN

Active since May 10, 2023
1688 OOLTEWAH RINGGOLD RD, SUITE 100, OOLTEWAH, TN 37363(423) 508-6835(423) 443-4425 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Publix Tennessee, Llc NPPES

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

PUBLIX TENNESSEE, LLC (NPI 1629768957), doing business as Publix Pharmacy #1863, is a healthcare organization registered as a community/retail pharmacy in Ooltewah, Tennessee and active in the NPI registry since May 2023. The organization lists Catherine E Scanlon, Vp Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1629768957
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePUBLIX TENNESSEE, LLC
Location Address1688 OOLTEWAH RINGGOLD RD, SUITE 100Ooltewah, TN 37363
Mailing AddressPo Box 639680Cincinnati, OH 45263-9680
Fax(423) 443-4425
Organization SubpartNo
Authorized OfficialCatherine E ScanlonVp Pharmacy · (863) 688-1188
Enumeration DateMay 10, 2023
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1629768957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
1688 OOLTEWAH RINGGOLD RD, SUITE 100, Ooltewah, TN 37363

Other Names 1

Doing Business AsPublix Pharmacy #1863

Accepted Insurance

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.
110 services110 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.
101 services101 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Publix Pharmacy #1863 carries, from the Medicare DMEPOS supplier directory.

Publix Pharmacy #1863

DMEPOS supplier · Ooltewah, TNOperated by Publix Tennessee, LLC

Accepts Medicare assignment

Publix Pharmacy #1863 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)34357580
Medicare Participant SinceSeptember 1, 2009
Supplier Location1688 Ooltewah Ringgold Rd, Suite 100Ooltewah, TN 37363
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.

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 Tennessee, LLC's NPI number?

The NPI number for Publix Tennessee, LLC is 1629768957. It was assigned to this organization in the NPPES registry on May 10, 2023. The provider is doing business as Publix Pharmacy #1863.

Where is Publix Tennessee, LLC located?

Publix Tennessee, LLC is located at 1688 Ooltewah Ringgold Rd, Suite 100, Ooltewah, TN 37363. The listed phone number is (423) 508-6835.

What is Publix Tennessee, LLC's specialty?

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

Does Publix Tennessee, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Publix Pharmacy #1863 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Publix Tennessee, LLC 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 Tennessee, LLC 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 Tennessee, LLC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.