NPI age
19 years
Enumerated 2006-06-05
● Active Type 2 · Organization
Publix Super Markets Inc
Publix Super Markets Inc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Rusk
Vp Pharmacy
Last NPPES update
2024-04-24
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
2
1 secondary on file
Subspecialties
2
In the 65% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
103 Mirror Lake Connector Ste 200
Villa Rica, GA 301803250
Mailing address
Po Box 639680
Cincinnati, OH 452639680
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2000 Mirror Lake Blvd
Villa Rica, GA 301802124
Authorized official
Dain Rusk
Vp Pharmacy
📞 8636881188
Specialties
-
Pharmacy PrimaryA 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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2015543 | PK |
| 05 (GA) | 253206699A | |
| 01 (GA) | PHRE011166 | STATE PHARMACY LICENSE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Publix Pharmacy #2011
Practice context
Multi-site organization. 1 additional practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.