Publix Super Markets Inc
Publix Super Markets Inc is a healthcare organization registered as Community/Retail Pharmacy in Crestview, FL, holding Type 2 (organization) NPI 1063941052 since 2017. The authorized official on file is Dain Rusk, Vp Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063941052 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Publix Super Markets Inc |
| Practice address | 1355 N FERDON BLVD, Crestview, FL, 32536 |
| Phone | 8506036187 |
| Fax | 8506343191 |
| Enumeration date | 2017-06-05 |
| Last updated in NPPES | 2019-12-02 |
Authorized official
| Name | Dain Rusk |
|---|---|
| Title | Vp Pharmacy |
| Phone | 8636881188 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | PH31016 | FL |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022868901 | Medicaid | FL | — |
| 022868900 | Medicaid | FL | — |
| 2171176 | Other | — | PK |
Copy-ready billing details
Provider: Publix Super Markets Inc NPI: 1063941052 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1355 N FERDON BLVD, Crestview, FL, 32536
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215350855 | Martelle Byrd | Individual | Pharmacist | Crestview, FL |
| 1083267066 | Jessica Wirth | Individual | Pharmacist | Crestview, FL |
Verify this record
Cross-check NPI 1063941052 against the authoritative CMS record: view Publix Super Markets Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Publix Super Markets Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-12-02.