WINN DIXIE STORES INC (NPI# 1235150517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235150517 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Other Organization Name | WINN DIXIE PHARMACY |
| Practice Address |
1803 Louisiana Hwy 3125 Gramercy LA 70052 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 2258698695 |
| Practice Fax Number | 2258698527 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-09-20 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.006542-RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1228761 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1926825 | 01 | |
| LA | 1263338 | 05 |
| Other Name | Type Code |
|---|---|
| WINN DIXIE PHARMACY | 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 |
1803 LOUISIANA HWY 3125 |
| City | GRAMERCY |
| State | LA |
| Zip Code | 70052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288589 | Joi Washington | Counselor | 238 S Cherry St., Gramercy,la, LA 70052 | 2019-07-25 |
| 1588154256 | Toya Lynell Patterson | Case Manager/Care Coordinator | 219 Hickory St, Gramercy, LA 70052 | 2018-05-17 |
| 1790299345 | K Renee Non Emergency Medical Transportation | Transportation Broker | 426 N Magnolia St, Gramercy, LA 70052 | 2017-11-18 |
| 1033633359 | Lisha Kirklin | Case Manager/Care Coordinator | 225 S. Elm St., Gramercy, LA 70052 | 2017-07-28 |
| 1033464714 | Lyle Bulger | Pharmacist | 1635 Hwy 3125, Gramercy, LA 70052 | 2012-07-18 |
| 1487821880 | St James Dialysis Center Inc | Clinic/Center | 1661 Hwy 3125, Gramercy, LA 70052 | 2008-05-14 |
| 1164606182 | Affinity Care Providers, Inc. | Community/Behavioral Health | 837 N. Pine Street Ste. C, Gramercy, LA 70052 | 2007-12-27 |
| 1831304740 | Affinity Care Providers, Inc. | Community/Behavioral Health | 837 N. Pine Street Ste.c, Gramercy, LA 70052 | 2007-05-14 |
| 1679643449 | Ashley Hines Cashio | Pharmacist | 1803 La Hwy 3125, Gramercy, LA 70052 | 2006-11-09 |
| 1598009474 | Minh Tran | Pharmacist | 1803 Highway 3125, Gramercy, LA 70052 | 2012-11-16 |
| Find all providers in zip 70052 | ||||
| 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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| 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.