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PUBLIX SUPER MARKETS INC
NPI 1831397447
Pharmacy - Community/Retail Pharmacy in Orange Park, FL

Active since July 05, 2007
1075 OAKLEAF PLANTATION PKWY, STE 200, ORANGE PARK, FL 32065(904) 291-5203(904) 291-5651 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: July 26, 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 1831397447), doing business as Publix Pharmacy #1169, is a healthcare organization registered as a community/retail pharmacy in Orange Park, Florida and active in the NPI registry since July 2007. The organization lists Catherine E Scanlon, Vp Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1831397447
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePUBLIX SUPER MARKETS INC
Location Address1075 OAKLEAF PLANTATION PKWY, STE 200Orange Park, FL 32065-3624
Mailing AddressPo Box 639680Cincinnati, OH 45263-9680 · (863) 688-1188 · Fax (863) 616-5846
Phone(904) 291-5203
Fax(904) 291-5651
Organization SubpartNo
Authorized OfficialCatherine E ScanlonVp Of Pharmacy · (863) 688-1188
Enumeration DateJuly 5, 2007
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1831397447 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 · PH22866
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
1075 OAKLEAF PLANTATION PKWY, Orange Park, FL 32065
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Other Names 1

Doing Business AsPublix Pharmacy #1169

Other Identifiers 2

Medicaid032157500FL
Other2009499Pk

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 ›

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.
142 services142 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.
135 services135 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.
14 services14 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.
14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Publix Pharmacy #1169 carries, from the Medicare DMEPOS supplier directory.

Publix Pharmacy #1169

DMEPOS supplier · Orange Park, FLOperated by Publix Super Markets, Inc
✔

Accepts Medicare assignment

Publix Pharmacy #1169 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)20471369
Medicare Participant SinceDecember 7, 2016
Supplier Location1075 Oakleaf Plantation Pkwy Ste 200Orange Park, FL 32065
Phone(904) 291-5203
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 8

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

ALLISON DASTA BUTLER M.D.
Family Medicine
1075 OAKLEAF PLANTATION PKWY, SUITE #108
ORANGE PARK, FL 32065
Clay County (904) 282-4565
SHERI D RICE
Nurse Practitioner (Family)
1075 OAKLEAF PLANTATION PKWY, STE 108
ORANGE PARK, FL 32065
Clay County (904) 282-4565
LAELISHA PATTON ARNP
Nurse Practitioner (Family)
1075 OAKLEAF PLANTATION PKWY, #108
ORANGE PARK, FL 32065
Clay County (904) 282-4565
TERESA MARIE PONDER PHARM D
Pharmacist
1075 OAKLEAF PLANTATION PKWY, STE 200
ORANGE PARK, FL 32065
Clay County (904) 291-5203
YOLANDA CAMPBELL FNP
Family Medicine
1075 OAKLEAF PLANTATION PKWY
ORANGE PARK, FL 32065
Clay County (904) 282-4565
TIFFANY MCCLAIN
Nurse Practitioner (Family)
1075 OAKLEAF PLANTATION PKWY, STE 108
ORANGE PARK, FL 32065
Clay County (904) 282-4565
MRS. KRISTEN RENAE MANN APRN, MSN, FNP-C
Nurse Practitioner (Family)
1075 OAKLEAF PLANTATION PKWY
ORANGE PARK, FL 32065
Clay County (904) 282-4565
FAMILY FIRST PRIMARY CARE PA
Clinic/Center (Primary Care)
1075 OAKLEAF PLANTATION PKWY, SUITE 108
ORANGE PARK, FL 32065
Clay County (904) 282-4565

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 1831397447. It was assigned to this organization in the NPPES registry on July 5, 2007. The provider is doing business as Publix Pharmacy #1169.

Where is Publix Super Markets Inc located?

Publix Super Markets Inc is located at 1075 Oakleaf Plantation Pkwy Ste 200, Orange Park, FL 32065. The listed phone number is (904) 291-5203.

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 #1169 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 16, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.