PUBLIX PHARMACY #0330
NPI 1710926720
Pharmacy - Community/Retail Pharmacy in Naples, FL

NPI Status: Active since June 05, 2006

Contact Information

4860 DAVIS BLVD
NAPLES, FL
ZIP 34104
Phone: (239) 417-6630
Fax: (239) 417-6634

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About PUBLIX PHARMACY #0330

This page provides the complete NPI Profile along with additional information for Publix Pharmacy #0330, a provider established in Naples, Florida operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1710926720 assigned on June 2006. The practitioner's primary taxonomy code is 3336C0003X with license number PH0020003 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Publix Pharmacy #0330. The authorized official of this NPI record is Dale Houston Rph (Manager Of Managed Care)

NPI
1710926720
Provider Legal Name
PUBLIX SUPER MARKETS INC
Other Organization Name
PUBLIX PHARMACY #0330
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4860 DAVIS BLVD NAPLES, FL 34104
Location Phone
(239) 417-6630
Location Fax
(239) 417-6634
Mailing Address
PO BOX 116181 ATLANTA, GA 30368
Mailing Phone
(863) 688-1188
Mailing Fax
(239) 417-6634
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2006
Last Update Date
10-11-2013
Code Navigator



Publix Pharmacy #0330 is a medicare supplier with PTAN 20474825 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
PH0020003
License State
FL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DALE HOUSTON RPH

Authorized Official Title
MANAGER OF MANAGED CARE
Authorized Official Phone
(863) 688-1188

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PHC056MEDICARE PIN (08) 
0775140624MEDICARE NSC (07) 
2007456OTHER (01)PK
026977800MEDICAID (05)FL 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20474825
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Reviews for PUBLIX PHARMACY #0330

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710926720
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201821274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 2 + 1 + 2 + 7 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710926720 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073850038 KELI ROSAL
Individual
Pharmacist4860 DAVIS BLVD
NAPLES, FL 34104
(239) 417-6630
1285971119 NANCY BOVE
Individual
Pharmacist4860 DAVIS BLVD
NAPLES, FL 34104
(239) 417-6630
1053870709 MITCHELL BERMAN
Individual
Pharmacist4860 DAVIS BLVD
NAPLES, FL 34104
(239) 732-7318
1144646399PUBLIX SUPER MARKETS INC
Organization
Pharmacy (Community/Retail Pharmacy)4860 DAVIS BLVD
NAPLES, FL 34104
(239) 732-7318
1003698291DR. ABDEL RAHMAN TAHA PHARMD
Individual
Pharmacist4860 DAVIS BLVD
NAPLES, FL 34104
(239) 732-7318

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710926720, enumerated in the NPI registry as an "organization" on June 05, 2006

The provider is located at 4860 Davis Blvd Naples, Fl 34104 and the phone number is (239) 417-6630

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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