WINN DIXIE STORES INC (NPI# 1639190911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639190911 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Other Organization Name | WINN DIXIE |
| Practice Address |
7946 Vaughn Rd Montgomery AL 36116-6625 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 3342721510 |
| Practice Fax Number | 3342721751 |
| 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 | 110167 | AL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
110167 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 100002613 | 05 | |
| OTHER ID NUMBER | 0124785 | 01 | |
| AL | 009942216 | 05 | |
| AL | 100003787 | 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 |
7946 VAUGHN RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36116-6625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962911073 | Angela Trucks | Pharmacist | 7946 Vaughn Rd, Montgomery, AL 36116-6625 | 2017-09-21 |
| 1942722483 | Heather Lee Brooks | Pharmacist | 7946 Vaughn Rd, Montgomery, AL 36116-6625 | 2017-07-15 |
| 1578686366 | Melinda Folmar Davis | Pharmacist | 7946 Vaughn Rd, Montgomery, AL 36116-6625 | 2007-04-09 |
| 1073613543 | Michael Lee Smith | Pharmacist | 7946 Vaughn Rd, Montgomery, AL 36117 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1861958241 | Tameka Lene' Myles | Nurse Practitioner | 2905 East South Boulevard, Montgomery, AL 36116 | 2019-02-11 |
| 1750869814 | Nina Yvette Massey | Family Medicine | Baptist South Uab Multi Specialty Clinic, 2119 E. South Blvd, Montgomery, AL 36116 | 2018-08-01 |
| 1336635697 | Briana Lynn Adair | Speech-Language Pathologist | 2185 Normandie Rd., Montgomery, AL 36116 | 2018-07-10 |
| 1790201770 | Rinka Ravi Pahwani | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Road, Suite 100, Montgomery, AL 36116 | 2017-08-21 |
| 1982052015 | Kevin J Jones | Pharmacist | 4385 Narrow Lane Rd, Montgomery, AL 36116 | 2016-05-31 |
| 1891153284 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8035 Vaughn Road, Montgomery, AL 36116 | 2016-02-01 |
| 1871917583 | E Dental | Dentist | 6956 Vaughn Rd, Montgomery, AL 36116 | 2014-02-17 |
| 1033545199 | Jennings Professional Services LLC | Home Health | 2921 Martin Lane, Montgomery, AL 36116 | 2013-09-20 |
| 1750721973 | Joseph Alan Taylor | Counselor | 8104 Seaton Place, Montgomery, AL 36116 | 2013-07-02 |
| Find all providers in zip 36116 | ||||
| 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 |
|---|---|---|---|---|
| 1447814033 | Triple T Pharmacy LLC | Pharmacy | 461 Cotton Gin Rd Ste B, Montgomery, AL 36117-3558 | 2019-04-29 |
| 1114486800 | Jmjp Investments LLC | Pharmacy | 89 Boulder Hill Pass, Montgomery, IL 60538-1911 | 2019-03-13 |
| 1750853529 | Aim 2016, Inc | Pharmacy | 7212 Halcyon Park Dr, Montgomery, AL 36117-7717 | 2018-12-18 |
| 1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
| 1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
| 1124468210 | Montgomery Drug Company Inc. | Pharmacy | 1633 Perry Hill Rd, Montgomery, AL 36106-2729 | 2013-07-03 |
| 1508042086 | Hudson Valley Ltc Pharmacy Inc | Pharmacy | 105 Ward St Ste A, Montgomery, NY 12549-1150 | 2008-01-15 |
| 1851427850 | Walgreen Co | Pharmacy | 2920 Carter Hill Rd, Montgomery, AL 36106-2531 | 2007-02-26 |
| 1659446904 | Montgomery Drug Company Inc | Pharmacy | 37 Mitchell Dr, Montgomery, AL 36109-2923 | 2006-11-22 |
| 1477624070 | Vel LLC | Pharmacy | 8189 Vaughn Rd, Montgomery, AL 36116-6705 | 2006-11-13 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36116 |
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.