Publix Pharmacy #0693 – Community/Retail Pharmacy, NPI 1356380224

Publix Pharmacy #0693 is a healthcare provider. based in Cincinnati, Ohio. specializing in Community/Retail Pharmacy. The organization holds a License No. PH0017000 (FL). The NPI Number for Publix Pharmacy #0693 is 1356380224

Main info

Organization
Name
Publix Pharmacy #0693
NPI
1356380224
Phone
(863) 688-1188
Address
PO BOX 639680
Authorized Official
DAIN RUSK VP PHARMACY
Enumeration Date
6 June 2006
Last Update Date
3 December 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Publix Pharmacy #0693

  • 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, 411, South Cypress Road, Garden Isles, Pompano Beach, Broward County, Florida, 33060, United States

    POMPANO BEACH, FL 330607135

    Phone: (954) 784-3284

    Fax: (954) 784-3286

    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)

Past revalidation due date

Earliest CMS due date was 2024-01-31 (858 days ago).

Enrollment records

1

Earliest due date

2024-01-31

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
O20100930077961OPharmacyFL2024-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 vaccine218216$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage217215$0
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count13020$0
90480Admn sarscov2 vacc 1 dose112112$0
91322Sarscov2 vac 50 mcg/0.5ml im105105$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

Does Publix Pharmacy #0693 share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Publix Pharmacy #0693 uses 1356380224.
Does CMS list Publix Pharmacy #0693 as active?
Yes — Publix Pharmacy #0693 is active in the NPI listing used on this page.
What is Publix Pharmacy #0693's primary classification?
Community/Retail Pharmacy is the headline specialty for Publix Pharmacy #0693 here. Clinical services aligned with this taxonomy classification.
Does Publix Pharmacy #0693 list a practice location?
Patients near Cincinnati, Ohio may find Publix Pharmacy #0693 in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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