WINN DIXIE STORES INC (NPI# 1205857513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205857513 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Other Organization Name | WINN DIXIE |
| Practice Address |
1030 Us Highway 331 South Suite G Defuniak Springs FL 32435 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 8508929668 |
| Practice Fax Number | 8508920925 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-09-16 |
| 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 | PH13465 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH13465 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103115500 | 05 | |
| FL | 103115501 | 05 | |
| OTHER ID NUMBER | 1075363 | 01 |
| 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 |
1030 US HIGHWAY 331 SOUTH SUITE G |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098267 | Luz Zondlo | Counselor | 3686 Us Highway 331s, Chautauqua Offices of Psychotherapy & Evaluation, Defuniak Springs, FL 32435 | 2017-01-03 |
| 1427445477 | Jacob Urda | Family Medicine | 1045 Hwy 331 South Suite D & E, Defuniak Springs, FL 32435 | 2015-04-16 |
| 1982728929 | Stone Surgery Clinic | Surgery | 962 Us 331 South, Defuniak Springs, FL 32435 | 2007-03-16 |
| 1003999756 | Charles Gordon Stevenson IIi | Optometrist | 770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 | 2006-10-23 |
| 1609971910 | Solomon Reodica | Surgery | 4415 Highway 331 Soutn, Defuniak Springs, FL 32435 | 2006-09-13 |
| 1396857223 | Pamela Kay Stuckey | Social Worker | 3686 Us Hwy 331 S, Cope Center Inc, Defuniak Springs, FL 32435 | 2006-08-31 |
| 1144332065 | Michele Anne Gilmore-rule | Social Worker | 3686 Us Hwy 331 South, Cope Center Inc, De Funiak Springs, FL 32435 | 2006-08-31 |
| 1912932153 | George Lester Mueller | Surgery | 2800 S Seacrest, Suite 200, Boynton Beach, FL 32435 | 2006-07-12 |
| 1679525463 | Timothy W Walker | Emergency Medicine | 4413 Us Hwy 331 South, Defuniak Springs, FL 32435 | 2006-05-17 |
| 1134688211 | Iclient Personal Support Services LLC | Day Training, Developmentally Disabled Services | 155 Country Manor Rd, Defuniak Springs, FL 32435 | 2019-03-18 |
| Find all providers in zip 32435 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154332799 | Svs Drug Co Dufuniak Springs Fl Inc | Pharmacy | 810 Baldwin Ave, Defuniak Springs, FL 32435-1707 | 2006-08-10 |
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|---|---|---|---|---|
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| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32435 |
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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.