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 1073552949 since 2006. The authorized official on file is Dain Rusk, Vp Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073552949 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Publix Super Markets Inc |
| Other name | <Unavail> |
| Practice address | 2250 S FERDON BLVD, Crestview, FL, 32536 |
| Phone | 8506825635 |
| Fax | 8506828151 |
| Enumeration date | 2006-06-06 |
| Last updated in NPPES | 2019-12-06 |
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 | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PH0018249 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014172 | Other | — | PK |
| 025156900 | Medicaid | FL | — |
Copy-ready billing details
Provider: Publix Super Markets Inc NPI: 1073552949 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2250 S FERDON BLVD, Crestview, FL, 32536
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1972840643 | Joshua Collins | Individual | Pharmacist | Crestview, FL |
| 1346684180 | Alison Stave | Individual | Pharmacist | Crestview, FL |
| 1114478021 | Brittany Henderson | Individual | Pharmacist | Crestview, FL |
| 1538708359 | Marylin Machado | Individual | Pharmacist | Crestview, FL |
| 1467022558 | Kayla Jackson | Individual | Pharmacist | Crestview, FL |
| 1588494256 | Sheryl Walker | Individual | Pharmacist | Crestview, FL |
Verify this record
Cross-check NPI 1073552949 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 type of organization is Publix Super Markets Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-12-06.