Publix Super Markets Inc
Pharmacy
955 State Road 16, St Augustine
Florida, 32084-1857
904-819-6774 904-819-6872
Publix Super Markets Inc is a Pharmacy in St Augustine, Florida. It is located at 955 State Road 16, St Augustine and it's customer support contact number is 904-819-6774. The authorized person of Publix Super Markets Inc is Dain Rusk who is Vp Pharmacy of the pharmacy and his contact number is 863-688-1188. Active license number of Publix Super Markets Inc is PH24291 for Pharmacy in Florida. Publix Super Markets Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Publix Super Markets Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Publix Super Markets Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Publix Super Markets Inc |
| Type: | Pharmacy |
| Location: | 955 State Road 16, St Augustine,
Florida, 32084-1857 |
| Phone: | 904-819-6774 |
| Fax: | 904-819-6872 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Dain Rusk |
| Position: | Vp Pharmacy |
| Contact Number: | 863-688-1188 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1548595416 |
| NPI Enumeration Date: | 12 Oct, 2009 |
| NPI Last Update On: | 06 Dec, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Publix Super Markets Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PH24291 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 001911600 | Medicaid | Florida | |
| 2122364 | Other | | Pk |
Medicare Enrollment:
Publix Super Markets Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4385644673 | O20100930071140 | Publix Super Markets, Inc | DME SUPPLIER - PHARMACY |
Products Available:
Publix Super Markets Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 639680,
Cincinnati, Ohio |
| Zip: | 45263-9680 |
| Phone Number: | 863-688-1188 |
| Fax Number: | 863-616-5846 |
Patients can reach Publix Super Markets Inc at
955 State Road 16, St Augustine, Florida or can
call on customer care at 904-819-6774.
Comments/ Reviews:
Read all the reviews posted for Publix Super Markets Inc below. You may also share your own experience with Publix Super Markets Inc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.