Publix Super Markets Inc
Community/Retail Pharmacy
7628 103rd St Ste 24, Jacksonville
Florida, 32210-8719
904-317-5260 904-638-3101
Publix Super Markets Inc is a Community/Retail Pharmacy in Jacksonville, Florida. It is located at 7628 103rd St Ste 24, Jacksonville and it's customer support contact number is 904-317-5260. 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 PH26309 for Community/Retail 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 pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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: | Community/Retail Pharmacy |
| Location: | 7628 103rd St Ste 24, Jacksonville,
Florida, 32210-8719 |
| Phone: | 904-317-5260 |
| Fax: | 904-638-3101 |
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: | 1558626705 |
| NPI Enumeration Date: | 12 Jul, 2012 |
| NPI Last Update On: | 21 Nov, 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 | |
| Community/Retail Pharmacy | PH26309 | Florida | Primary | |
| Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
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 |
| 006475201 | Medicaid | Florida | |
| 2136012 | Other | | Pk |
| 006475200 | Medicaid | Florida | |
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 | O20121025000037 | 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
7628 103rd St Ste 24, Jacksonville, Florida or can
call on customer care at 904-317-5260.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.