Publix Pharmacy #1365 – Community/Retail Pharmacy, NPI 1700826658

Publix Pharmacy #1365 is a healthcare provider. based in Cincinnati, Ohio. specializing in Community/Retail Pharmacy. The organization holds a License No. PH15478 (FL). The NPI Number for Publix Pharmacy #1365 is 1700826658

Main info

Organization
Name
Publix Pharmacy #1365
NPI
1700826658
Phone
(863) 688-1188
Address
PO BOX 639680
Authorized Official
DAIN RUSK VP PHARMACY
Enumeration Date
8 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 #1365

  • 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

  • Northwest 49th Avenue, Ocala, Marion County, Florida, 34482, United States

    OCALA, FL 344826215

    Phone: (352) 401-3606

    Fax: (352) 401-0094

    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 2026-08-31 (83 days away).

Enrollment records

1

Earliest due date

2026-08-31

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
O20100930090486OPharmacyFL2026-08-31

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 vaccine389386$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage380377$0
90480Admn sarscov2 vacc 1 dose182182$0
91322Sarscov2 vac 50 mcg/0.5ml im174174$0
0134AAdm sarscv2 bvl 50mcg/.5ml a4040$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Publix Pharmacy #1365?
Publix Pharmacy #1365 — NPI 1700826658 — is the standard way to identify this listing.
Is Publix Pharmacy #1365 still practicing?
Publix Pharmacy #1365 is currently listed as active in the public NPI registry.
What taxonomy line describes Publix Pharmacy #1365?
For research purposes, treat Publix Pharmacy #1365 as Community/Retail Pharmacy in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Publix Pharmacy #1365 on a map?
Expect Cincinnati, Ohio as a primary anchor for Publix Pharmacy #1365 unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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