WINN DIXIE STORES INC (NPI# 1194746404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194746404 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Other Organization Name | WINN DIXIE |
| Practice Address |
3792 S Suncoast Blvd Homosassa FL 34448-2624 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 3526282188 |
| Practice Fax Number | 3526280532 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | M. SANDLIN GRIMM (VICE PRESIDENT) |
| Authorized Official Telephone | 9047835578 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PH13930 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH13930 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 1077672 | 01 | |
| FL | 103663701 | 05 | |
| FL | 103663700 | 05 |
| Other Name | Type Code |
|---|---|
| WINN DIXIE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043658248 | Winn Dixie Stores Inc | Pharmacy | 401 N Carrollton Ave, New Orleans, LA 70119-4702 | 2013-06-10 |
| 1922338599 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 11092 Spring Hill Dr, Spring Hill, FL 34608-5093 | 2010-01-05 |
| 1235465584 | Winn Dixie Stores Inc | Pharmacy | 70431 Hwy 21, Covington, LA 70433 | 2009-10-21 |
| 1104084037 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 220 Retreat Village, St Simons Island, GA 31522-2403 | 2008-05-28 |
| 1336161967 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 4231 Macon Rd, Columbus, GA 31907-8330 | 2006-07-24 |
| 1205858842 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 3260 Highway 17, Green Cove Springs, FL 32043-9364 | 2006-07-24 |
| 1285656819 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 2880 Howland Blvd, Deltona, FL 32725-9619 | 2006-07-24 |
| 1235151879 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5100 Highway 39 N, Meridian, MS 39301-1023 | 2006-07-24 |
| 1972525509 | Winn Dixie Stores Inc | Pharmacy | 13002 Coursey Blvd, Baton Rouge, LA 70816-4964 | 2006-07-24 |
| 1114949757 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 132 S Tyndall Pkwy, Parker, FL 32404-6721 | 2006-07-24 |
| Street Address |
3792 S SUNCOAST BLVD |
| City | HOMOSASSA |
| State | FL |
| Zip Code | 34448-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982095477 | Melissa Bruns | Pharmacist | 3792 S Suncoast Blvd, Homosassa, FL 34448-2624 | 2015-02-05 |
| 1346675469 | Margaret Kaflinski | Pharmacist | 3792 S Suncoast Blvd, Homosassa, FL 34448-2624 | 2013-09-09 |
| 1518277334 | St Eucherius A Duncan | Pharmacist | 3792 S Suncoast Blvd, Homosassa, FL 34448 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542972 | Julia Brown | Pharmacist | 3729 S Suncoast Blvd, Homosassa, FL 34448 | 2020-09-10 |
| 1871588699 | Geoffrey Roberts | Family Medicine | 3542 S. Suncoast Blvd, Homosassa, FL 34448 | 2005-09-19 |
| 1396047379 | Brian Thomas Chupp | Pharmacist | 8555 W Highland St, Homosassa, FL 34448-1116 | 2010-11-24 |
| 1508184870 | Lori Ann Remick | Social Worker | 8926 W Sugar Bush Path, Homosassa, FL 34448-1187 | 2010-05-12 |
| 1568837540 | Sheryle Loraine Lyman | Marriage & Family Therapist | 5542 W Paprika Loop, Homosassa, FL 34448-1336 | 2015-12-02 |
| 1790930808 | Roger W Hoffman | Contractor | 1505 S Suncoast Blvd, Homosassa, FL 34448-1464 | 2008-11-18 |
| 1700027513 | Donna Degraff Fisher | Registered Nurse | 6095 W Constitution Ln, Homosassa, FL 34448-1651 | 2009-03-09 |
| 1265945034 | Angela Marie Harris | Physical Therapy Assistant | 6649 W Constitution Ln, Homosassa, FL 34448-1652 | 2017-11-14 |
| 1811242530 | Kathleen O'brien-vartapurian | Specialist | 6297 W Craft Ln, Homosassa, FL 34448-2226 | 2012-07-18 |
| 1730354648 | Zeecor Inc | Chiropractor | 3291 Us Highway 19, Homosassa, FL 34448-2321 | 2008-04-23 |
| Find all providers in zip 34448 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.