Publix Pharmacy #0417 – Community/Retail Pharmacy, NPI 1891734760

Publix Pharmacy #0417 is a healthcare provider. based in Cincinnati, Ohio. specializing in Community/Retail Pharmacy. They hold a License No. PH0018000 (FL). The NPI Number for Publix Pharmacy #0417 is 1891734760

Main info

Organization
Inactive
Name
Publix Pharmacy #0417
NPI
1891734760
Phone
(863) 688-1188
Address
PO BOX 639680
Deactivation Date
14 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness80
Years active:0State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Publix Pharmacy #0417

  • 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

  • 14th Street West, Bradenton, Manatee County, Florida, 34207, United States

    BRADENTON, FL 342074104

    Phone: (941) 756-4886

    Fax: (941) 756-2295

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 count914118$0
G0008Administration of influenza virus vaccine308307$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage302301$0
90480Admn sarscov2 vacc 1 dose167167$0
91322Sarscov2 vac 50 mcg/0.5ml im160160$0
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Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

Is there an official ID for Publix Pharmacy #0417 in U.S. healthcare records?
The official identifier for Publix Pharmacy #0417 is NPI 1891734760.
Can Publix Pharmacy #0417 still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Publix Pharmacy #0417?
At a glance, Publix Pharmacy #0417 is tied to Community/Retail Pharmacy. Clinical services aligned with this taxonomy classification.
Is Publix Pharmacy #0417 located near Cincinnati?
Publix Pharmacy #0417 currently maps to Cincinnati, Ohio in this extract.
When was this NPI issued?
Enumeration for Publix Pharmacy #0417 is noted as not shown in this record where the registry provides it.

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