Publix Pharmacy #1196 – Community/Retail Pharmacy, NPI 1013166677

Publix Pharmacy #1196 is a healthcare provider. based in Cincinnati, Ohio. specializing in Community/Retail Pharmacy. The organization holds a License No. PH23603 (FL). The NPI Number for Publix Pharmacy #1196 is 1013166677

Main info

Organization
Name
Publix Pharmacy #1196
NPI
1013166677
Phone
(863) 688-1188
Address
PO BOX 639680
Authorized Official
DAIN RUSK VP PHARMACY
Enumeration Date
18 September 2008
Last Update Date
6 December 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:17State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Publix Pharmacy #1196

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452639680

    Phone: (863) 688-1188

    Fax: (863) 616-5846

    Type: Mailing

  • Eiland Boulevard, Zephyrhills, Pasco County, Florida, 33541:33542, United States

    ZEPHYRHILLS, FL 335455268

    Phone: (813) 779-2510

    Fax: (813) 779-2814

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (20 days away).

Enrollment records

1

Earliest due date

2026-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930095274OPharmacyFL2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine144144$0
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count14323$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage140140$0
90480Admn sarscov2 vacc 1 dose7474$0
91322Sarscov2 vac 50 mcg/0.5ml im6969$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

Is Publix Pharmacy #1196 listed with a National Provider Identifier?
Yes — Publix Pharmacy #1196 has NPI 1013166677 on file in the registry.
Would Publix Pharmacy #1196 appear as active to a payer?
You can treat Publix Pharmacy #1196 as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is Publix Pharmacy #1196?
Publix Pharmacy #1196 is associated with Community/Retail Pharmacy in the directory — Clinical services aligned with this taxonomy classification.
Is Publix Pharmacy #1196 associated with Cincinnati?
Public fields place Publix Pharmacy #1196 around Cincinnati, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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