Publix Pharmacy #1025 – Community/Retail Pharmacy, NPI 1396785721

Publix Pharmacy #1025 is a healthcare provider. based in Cincinnati, Ohio. specializing in Community/Retail Pharmacy. The organization holds a License No. 112689 (AL). The NPI Number for Publix Pharmacy #1025 is 1396785721

Main info

Organization
Name
Publix Pharmacy #1025
NPI
1396785721
Phone
(863) 688-1188
Address
PO BOX 639680
Authorized Official
CATHERINE E SCANLON VP OF PHARMACY
Enumeration Date
7 June 2006
Last Update Date
6 May 2026
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness90
Years active:20State licenses:1Digital endpoints

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Provider Addresses for Publix Pharmacy #1025

  • 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

  • 4045, Atlanta Highway, Bellehurst, Montgomery, Montgomery County, Alabama, 36109, United States

    MONTGOMERY, AL 361092920

    Phone: (334) 260-7788

    Fax: (334) 260-7793

    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: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20100930022460OPharmacyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 count26429$0
G0008Administration of influenza virus vaccine9190$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage8685$0
90480Admn sarscov2 vacc 1 dose4040$0
91322Sarscov2 vac 50 mcg/0.5ml im3737$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 #1025 share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Publix Pharmacy #1025 uses 1396785721.
Can I rely on Publix Pharmacy #1025 being an active provider?
As of the registry snapshot, Publix Pharmacy #1025 is marked active.
What taxonomy line describes Publix Pharmacy #1025?
For research purposes, treat Publix Pharmacy #1025 as Community/Retail Pharmacy in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Publix Pharmacy #1025 on a map?
Expect Cincinnati, Ohio as a primary anchor for Publix Pharmacy #1025 unless the record lists multiple sites.
Why does Publix Pharmacy #1025 have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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