Publix Pharmacy #0240 – Community/Retail Pharmacy, NPI 1710926779

Publix Pharmacy #0240 is a healthcare provider. based in Cincinnati, Ohio. specializing in Community/Retail Pharmacy. The organization holds a License No. PH0018994 (FL). The NPI Number for Publix Pharmacy #0240 is 1710926779

Main info

Organization
Name
Publix Pharmacy #0240
NPI
1710926779
Phone
(863) 688-1188
Address
PO BOX 639680
Authorized Official
DAIN RUSK VP PHARMACY
Enumeration Date
5 June 2006
Last Update Date
1 February 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 #0240

  • 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, 1255, 8th Avenue, Vero Beach, Indian River County, Florida, 32960, United States

    VERO BEACH, FL 329605729

    Phone: (772) 778-4771

    Fax: (772) 778-6954

    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
O20100930024830OPharmacyFL2026-10-31

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
G0008Administration of influenza virus vaccine551550$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage528527$0
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count42779$0
90480Admn sarscov2 vacc 1 dose300300$0
91322Sarscov2 vac 50 mcg/0.5ml im271271$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

How is Publix Pharmacy #0240 identified in CMS data?
CMS-hosted NPPES data lists Publix Pharmacy #0240 with NPI 1710926779.
Is Publix Pharmacy #0240 still practicing?
Publix Pharmacy #0240 is currently listed as active in the public NPI registry.
What healthcare role does Publix Pharmacy #0240 hold?
Scheduling teams often label Publix Pharmacy #0240 under Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Does Publix Pharmacy #0240 list a practice location?
Patients near Cincinnati, Ohio may find Publix Pharmacy #0240 in results; validate coverage separately.
Is the information about Publix Pharmacy #0240 up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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