OrganizationActive
Publix Super Markets Inc
NPI 1093148199 · Community/Retail Pharmacy · Lakeland, FL
Provider details
- NPI number
- 1093148199
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dain Rusk, Vp Pharmacy(863) 688-1188
Specialties & taxonomies
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs 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
1324 Lakeland Hills Blvd Ste 203
Lakeland, FL 33805-4543
Phone: (863) 284-1834
Fax: (863) 284-1861
Street-level locationGet directions
Mailing address
Po Box 639680
Cincinnati, OH 45263-9680
Other names (DBA / former)
- Doing business as
- Publix Pharmacy #3211
- Doing business as
- Publix Pharmacy #3211
Registry dates
- Enumerated
- 2013-08-13
- Last updated
- 2022-02-01
- Certified
- 2022-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.