Publix Tennessee LLC
Publix Tennessee LLC is a healthcare organization registered as Community/Retail Pharmacy in Ooltewah, TN, holding Type 2 (organization) NPI 1801041900 since 2008. The authorized official on file is Dain Rusk, Vp Pharmacy.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1801041900 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Publix Tennessee LLC |
| Other name | <Unavail> |
| Practice address | 5958 SNOW HILL RD STE 168, Ooltewah, TN, 37363 |
| Phone | 4232382105 |
| Fax | 4239103001 |
| Enumeration date | 2008-11-18 |
| Last updated in NPPES | 2024-02-28 |
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 | 4584 | TN |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2117892 | Other | — | PK |
Copy-ready billing details
Provider: Publix Tennessee LLC NPI: 1801041900 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 5958 SNOW HILL RD STE 168, Ooltewah, TN, 37363
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124546916 | Sara Petron | Individual | Pharmacist | Ooltewah, TN |
| 1518433846 | Kelli Owens | Individual | Pharmacist | Ooltewah, TN |
| 1902570237 | Artur Barva | Individual | Pharmacist | Ooltewah, TN |
| 1114895042 | Allison Smith | Individual | Pharmacist | Ooltewah, TN |
Verify this record
Cross-check NPI 1801041900 against the authoritative CMS record: view Publix Tennessee LLC 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 the NPI number for Publix Tennessee LLC?
Who is the authorized official for Publix Tennessee LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-28.