Publix Pharmacy #1155 – Community/Retail Pharmacy, NPI 1851416853

Publix Pharmacy #1155 is a healthcare provider. based in Cincinnati, Ohio. specializing in Community/Retail Pharmacy. The organization holds a License No. PH0022630 (FL). The NPI Number for Publix Pharmacy #1155 is 1851416853

Main info

Organization
Name
Publix Pharmacy #1155
NPI
1851416853
Phone
(863) 688-1188
Address
PO BOX 639680
Authorized Official
DAIN RUSK VP PHARMACY
Enumeration Date
20 March 2007
Last Update Date
6 December 2019
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Publix Pharmacy #1155

  • PO BOX 639680

    CINCINNATI, OH 452639680

    Phone: (863) 688-1188

    Fax: (863) 616-5846

    Type: Mailing

  • 327 COLONY BLVD

    THE VILLAGES, FL 321626084

    Phone: (352) 391-1808

    Fax: (352) 391-1814

    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 2026-03-31 (72 days ago).

Enrollment records

1

Earliest due date

2026-03-31

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
O20100930060240OPharmacyFL2026-03-31

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 vaccine1,3201,316$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage1,3031,299$0
90480Admn sarscov2 vacc 1 dose627626$0
91322Sarscov2 vac 50 mcg/0.5ml im578577$0
0134AAdm sarscv2 bvl 50mcg/.5ml a214213$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 federal number belongs to Publix Pharmacy #1155?
The federal identifier for Publix Pharmacy #1155 is NPI 1851416853.
Does this profile mean Publix Pharmacy #1155 is currently active?
Yes — Publix Pharmacy #1155 appears active in the national provider directory.
What does Publix Pharmacy #1155 treat or focus on?
Patients typically see Publix Pharmacy #1155 under the specialty Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
What location shows for Publix Pharmacy #1155?
We surface Cincinnati, Ohio for Publix Pharmacy #1155 based on available NPPES addresses.
What if Cincinnati, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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