{"npi":"1447299482","type":"NPI-2","status":"active","name":{"display":"Publix Super Markets INC","other":[],"organization_name":"PUBLIX SUPER MARKETS INC","authorised_official":"Dain Rusk"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"GA","license":"PHRE008805"}]},"addresses":[{"purpose":"LOCATION","street_1":"103 MIRROR LAKE CONNECTOR STE 200","city":"VILLA RICA","state":"GA","postal_code":"301803250","country_code":"US","phone":"6788408788","fax":"6788408786"},{"purpose":"MAILING","street_1":"PO BOX 639680","city":"CINCINNATI","state":"OH","postal_code":"452639680","country_code":"US","phone":"8636881188","fax":"8636165846"}],"license":{"state":"GA","number":"PHRE008805"},"identifiers":[{"type_code":"01","label":"Other","value":"2015543","state":null,"issuer":"PK"},{"type_code":"05","label":"Medicaid","value":"253206699A","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"PHRE011166","state":"GA","issuer":"STATE PHARMACY LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930005928","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"GA","pac_id":"4385644673"}]},"enumeration_date":"2006-06-05","last_updated":"2024-04-24","_meta":{"source":"NPPES","snapshot_date":"2024-04-24","doc_url":"https://findmynpi.com/api"}}