OrganizationActive
Publix Super Markets, Inc.
NPI 1053103887 · Community/Retail Pharmacy · Saint Augustine, FL
Provider details
- NPI number
- 1053103887
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dain Rusk, Vp of Pharmacy(863) 688-1188
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1033 A1a Beach Blvd
Saint Augustine, FL 32080-6731
Phone: (904) 815-6243
Fax: (904) 207-7569
Street-level locationGet directions
Mailing address
Po Box 407
Lakeland, FL 33802-0407
Other names (DBA / former)
- Doing business as
- Publix Pharmacy #2096
Registry dates
- Enumerated
- 2025-05-19
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.