WINN DIXIE STORES INC (NPI# 1295756500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295756500 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Other Organization Name | WINN DIXIE |
| Practice Address |
31100 Cortez Blvd Brooksville FL 34602-7548 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 3527545154 |
| Practice Fax Number | 3527545215 |
| 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 | PH13616 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH13616 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 1076531 | 01 | |
| FL | 52361091035 | 05 | |
| FL | 103317400 | 05 | |
| FL | 103317401 | 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 |
31100 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34602-7548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003048729 | Arif Remtullah | Pharmacist | 31100 Cortez Blvd, Brooksville, FL 34602-7548 | 2009-08-13 |
| 1275750622 | Tamara Leigh Nickerson | Pharmacy Technician | 31100 Cortez Blvd, Brooksville, FL 34602-7548 | 2007-04-19 |
| 1356475503 | Shahida Amar | Pharmacist | 31100 Cortez Blvd, Brooksville, FL 34602-7548 | 2007-03-16 |
| 1669501623 | Harry Hamilton Henwood | Pharmacist | 31100 Cortez Blvd, Brooksville, FL 34602-7548 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669975868 | Tachara Stanton | Behavioral Analyst | 30958 Water Lily Dr, Brooksville, FL 34602 | 2018-03-14 |
| 1629290721 | Leslie Foster Home | Custodial Care Facility | 4063 Baseball Pond Road, Brooksville, FL 34602 | 2007-05-02 |
| 1255343901 | Guillermo Mantilla Cadena | Psychiatry & Neurology | 22770 Skyview Cir, Brooksville, FL 34602-3106 | 2006-08-12 |
| 1407218092 | Foundations Foot and Ankle LLC | Podiatrist | 22319 Powell Rd, Brooksville, FL 34602-5705 | 2016-03-23 |
| 1699807982 | Thomas S. Hogan Sr. | Pharmacist | 22331 Powell Rd, Brooksville, FL 34602-5705 | 2007-03-12 |
| 1720634645 | Cassandrea Marie Bloxsom-joiner | Behavior Technician | 1211 Culbreath Rd, Brooksville, FL 34602-6003 | 2019-08-15 |
| 1114431194 | Beket Lott | Counselor | 201 Culbreath Rd, Brooksville, FL 34602-6017 | 2017-11-28 |
| 1194891929 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 201 Culbreath Rd, Brooksville, FL 34602-6017 | 2006-11-24 |
| 1982773024 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 397 Culbreath Rd, Brooksville, FL 34602-6019 | 2006-11-06 |
| 1073129136 | Karen Harris | Nurse Practitioner | 28211 Church Rd, Brooksville, FL 34602-6232 | 2020-09-23 |
| Find all providers in zip 34602 | ||||
| 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 |
|---|---|---|---|---|
| 1033609227 | Ms Lutz LLC | Pharmacy | 16142 Flight Path Dr, Brooksville, FL 34604-6845 | 2018-05-14 |
| 1003321092 | St. Mary and Archangel Michael, LLC | Pharmacy | 12115 Cortez Blvd, Brooksville, FL 34613-5551 | 2017-12-12 |
| 1497209159 | Palmyra Pharmacy LLC | Pharmacy | 13080 Cortez Blvd, Brooksville, FL 34613-4854 | 2016-08-11 |
| 1770036071 | Us Sterile Rx Inc | Pharmacy | 16140 Flight Path Dr, Brooksville, FL 34604-6845 | 2016-08-03 |
| 1558596932 | Pine Brook Pharmacy LLC | Pharmacy | 14482 Cortez Blvd, Brooksville, FL 34613-5975 | 2009-05-28 |
| 1730214826 | Deans Pharmacy Inc | Pharmacy | 109 Locust St, Brooksville, KY 41004 | 2007-02-22 |
| 1639211121 | Macon City Drug Store, Inc. | Pharmacy | 1556 N Oliver St, Brooksville, MS 39739-4003 | 2007-02-13 |
| 1447354345 | Holiday Cvs LLC | Pharmacy | 12990 Cortez Blvd, Brooksville, FL 34613-6803 | 2006-09-12 |
| 1588768477 | Holiday Cvs LLC | Pharmacy | 20019 Cortez Blvd, Brooksville, FL 34601-3835 | 2006-09-12 |
| 1164437281 | Walgreen Co | Pharmacy | 20020 Cortez Blvd, Brooksville, FL 34601-3834 | 2006-07-29 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34602 |
Please comment or provide details below to improve the information on WINN DIXIE STORES INC.
| 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.