WINN DIXIE STORES INC (NPI# 1386665669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386665669 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Other Organization Name | WINN DIXIE |
| Practice Address |
1952 W Dallas Ave Selma AL 36701-7027 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 3348727211 |
| Practice Fax Number | 3348727016 |
| 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 | 110160 | AL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
110160 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009943046 | 05 | |
| AL | 100039133 | 05 | |
| AL | 100002503 | 05 | |
| OTHER ID NUMBER | 0124026 | 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 |
1952 W DALLAS AVE |
| City | SELMA |
| State | AL |
| Zip Code | 36701-7027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455041 | Andrea Austin | Pharmacy | 1952 W Dallas Ave, Selma, AL 36701-7027 | 2020-10-24 |
| 1174122857 | Tiffany Nicole Mcilwain | Pharmacist | 1952 W Dallas Ave, Selma, AL 36701-7027 | 2020-10-22 |
| 1134512684 | Barbara Debusk Eischens | Pharmacist | 1952 W Dallas Ave, Selma, AL 36701-7027 | 2015-03-09 |
| 1275653842 | Kent Alan Hale | Pharmacist | 1952 W Dallas Ave, Selma, AL 36701-7027 | 2007-03-29 |
| 1891815460 | Horace Terry Caldwell | Pharmacist | 1952 W Dallas Ave, Selma, AL 36701-7027 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1144499302 | Cecil William Fuller Sr. | Dentist | 203 Dallas Ave, Selma, AL 36701 | 2008-02-21 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| Find all providers in zip 36701 | ||||
| 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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|---|---|---|---|---|
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| 1750937447 | Selma Pharmacy Corp | Pharmacy | 2132 High St, Selma, CA 93662-3009 | 2019-08-18 |
| 1093189821 | Interlink Apothecary | Pharmacy | 618 Medical Center Pkwy Ste B, Selma, AL 36701-6704 | 2015-11-17 |
| 1992998702 | Costco Wholesale Corporation | Pharmacy | 15330 Ih 35 N, Selma, TX 78154 | 2007-08-24 |
| 1699882258 | Swift Drug Co.inc. | Pharmacy | 217 Broad St, Selma, AL 36702-0735 | 2006-08-23 |
| 1972833630 | Creech Drug Company Inc | Pharmacy | 126 N Raiford St, Selma, NC 27576-2833 | 2009-12-31 |
| 1508913831 | Kaiser Foundation Health Plan Inc | Pharmacy | 2651 Highland Ave, Selma, CA 93662-3392 | 2007-01-05 |
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| 1609401678 | Pharmacy Investment Coordinators Inc | Pharmacy | 1301 Andrews Ave, Ozark, AL 36360-3717 | 2020-03-10 |
| 1861025520 | Monroe County Health Care Authority | Pharmacy | 2016 S Alabama Ave Ste D, Monroeville, AL 36460-3044 | 2020-02-20 |
| 1982235230 | Shiftrx Uab Mw, LLC | Pharmacy | 985 9th Ave Sw Ste 100, Bessemer, AL 35022-7810 | 2020-01-27 |
| 1316577943 | Gulf Health Management Services Inc | Pharmacy | 95 Shell St Ste 110, Saraland, AL 36571-2202 | 2020-01-23 |
| 1952931115 | Howard Pharmacy LLC | Pharmacy | 770a Pierce Rd, Mobile, AL 36608-9441 | 2020-01-16 |
| 1972144798 | Hh Health System - Marshall LLC | Pharmacy | 11491 Us Highway 431 Ste 1, Albertville, AL 35950-0136 | 2019-10-02 |
| 1275184517 | Avita Drugs Alabama, LLC | Pharmacy | 3220 5th Ave S, Birmingham, AL 35222-2309 | 2019-09-27 |
| 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.