Publix Pharmacy #1020 – Community/Retail Pharmacy, NPI 1215977657

Publix Pharmacy #1020 is a healthcare provider. based in Cincinnati, Ohio. specializing in Community/Retail Pharmacy. The organization holds a License No. PH0020869 (FL). The NPI Number for Publix Pharmacy #1020 is 1215977657

Main info

Organization
Name
Publix Pharmacy #1020
NPI
1215977657
Phone
(863) 688-1188
Address
PO BOX 639680
Authorized Official
DAIN RUSK VP PHARMACY
Enumeration Date
7 June 2006
Last Update Date
6 December 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Publix Pharmacy #1020

  • 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

  • Publix, 5127, US Highway 19, New Port Richey, Pasco County, Florida, 34652, United States

    NEW PORT RICHEY, FL 346523966

    Phone: (727) 845-3123

    Fax: (727) 845-5920

    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 scheduled

Earliest CMS due date is 2026-10-31 (144 days away).

Enrollment records

1

Earliest due date

2026-10-31

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
O20100930046778OPharmacyFL2026-10-31

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

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
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count26542$0
G0008Administration of influenza virus vaccine160160$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage159159$0
90480Admn sarscov2 vacc 1 dose102102$0
91322Sarscov2 vac 50 mcg/0.5ml im9797$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

Can I cross-check Publix Pharmacy #1020 using NPI 1215977657?
NPI 1215977657 belongs to Publix Pharmacy #1020; compare other details if you need extra assurance.
Active or inactive — what applies to Publix Pharmacy #1020?
You should see Publix Pharmacy #1020 as active in CMS-hosted NPPES data.
What area of care is associated with Publix Pharmacy #1020?
Publix Pharmacy #1020's record emphasizes Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Publix Pharmacy #1020?
Travel planning: use Cincinnati, Ohio as the reference point for Publix Pharmacy #1020, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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