Publix Pharmacy #0102 – Community/Retail Pharmacy, NPI 1275572232

Publix Pharmacy #0102 is a healthcare provider. based in Cincinnati, Ohio. specializing in Community/Retail Pharmacy. The organization holds a License No. PH0018743 (FL). The NPI Number for Publix Pharmacy #0102 is 1275572232

Main info

Organization
Name
Publix Pharmacy #0102
NPI
1275572232
Phone
(863) 688-1188
Address
PO BOX 639680
Authorized Official
DAIN RUSK VP PHARMACY
Enumeration Date
5 June 2006
Last Update Date
31 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Publix Pharmacy #0102

  • 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

  • New Port Richey, Pasco County, Florida, United States

    NEW PORT RICHEY, FL 346543470

    Phone: (727) 869-7919

    Fax: (727) 863-6079

    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 (21 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
O20100930067400OPharmacyFL2026-06-30

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 vaccine112112$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage103103$0
90480Admn sarscov2 vacc 1 dose9292$0
91322Sarscov2 vac 50 mcg/0.5ml im9090$0
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count4919$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 #0102 using NPI 1275572232?
NPI 1275572232 belongs to Publix Pharmacy #0102; compare other details if you need extra assurance.
Is there an active status for Publix Pharmacy #0102?
For scheduling context, Publix Pharmacy #0102 is shown as active in the registry.
How would a patient describe Publix Pharmacy #0102's focus?
For Publix Pharmacy #0102, the primary taxonomy reads as Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Is Publix Pharmacy #0102 located near Cincinnati?
Publix Pharmacy #0102 currently maps to Cincinnati, Ohio in this extract.
Does Publix Pharmacy #0102 accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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