OrganizationPublix Super Markets Inc(Publix Pharmacy #0228)PharmacySuppliersPractice Address6330 W Indiantown Rd, Jupiter, FL 33458-7981(561) 741-1225(863) 688-1188PECOS EnrollmentBased on the most recent information from CMS, provider Publix Super Markets Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1366482721Provider TypeOrganizationFull NamePublix Super Markets IncOther NamePublix Pharmacy #0228SubpartNoEnumeration Date6/7/2006Last Updated1/28/2022Contact InformationPractice LocationPractice Address6330 W Indiantown Rd, Jupiter, FL 33458-7981Phone(561) 741-1225Fax(561) 741-1232Mailing LocationMailing AddressPO Box 639680, Cincinnati, OH 45263-9680Phone(863) 688-1188Fax(863) 616-5846Authorized OfficialNameRusk, Dain (Vp Pharmacy)Phone(863) 688-1188Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicensePH0019632FloridaCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID026466100DescriptionMedicaidIssuerUnlistedFloridaID2006299DescriptionOtherIssuerPK