WINN DIXIE STORES INC (NPI# 1871514158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871514158 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Other Organization Name | WINN DIXIE |
| Practice Address |
2985 Gause Blvd E Slidell LA 70461-4154 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 9856391560 |
| Practice Fax Number | 9856391561 |
| 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.006537-RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02438013 | 05 | |
| LA | 1263699 | 05 | |
| LA | 1217433 | 05 | |
| MS | 06286200 | 05 | |
| OTHER ID NUMBER | 1927118 | 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 |
2985 GAUSE BLVD E |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-4154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891913505 | Cynthia Provost | Pharmacist | 2985 Gause Blvd E, Slidell, LA 70461-4154 | 2007-04-20 |
| 1033248851 | Darren L Coates | Pharmacist | 2985 Gause Blvd E, Slidell, LA 70461-4154 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| 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 |
|---|---|---|---|---|
| 1366083164 | Genoa Healthcare, LLC | Pharmacy | 2331 Carey St Ste 101, Slidell, LA 70458-3627 | 2019-10-02 |
| 1124433784 | Walgreen Co | Pharmacy | 1051 Gause Blvd Ste 101, Slidell, LA 70458-2951 | 2014-06-23 |
| 1629497904 | Healthscripts of America-north Shore, LLC | Pharmacy | 101 Production Dr, Suite D, Slidell, LA 70460-4674 | 2014-04-15 |
| 1912028937 | Pharmacy City LLC | Pharmacy | 1201 Robert Blvd, Slidell, LA 70458-2015 | 2007-04-03 |
| 1013016070 | F and M Specialty Pharmacy Inc | Pharmacy | 118 Village St, Suite D, Slidell, LA 70458-5302 | 2006-09-22 |
| 1124122056 | Louisiana Cvs Pharmacy, L.L.C. | Pharmacy | 1305 Gause Blvd, Slidell, LA 70458-3015 | 2006-09-12 |
| 1780605063 | Winn Dixie Stores Inc | Pharmacy | 3030 Pontchartrain Dr, Slidell, LA 70458-4352 | 2006-07-21 |
| 1528670924 | Thanh Johnny Le | Pharmacy | 1305 Gause Blvd, Slidell, LA 70458-3015 | 2020-08-18 |
| 1013568047 | Ochsner Pharmacy and Wellness LLC | Pharmacy | 1051 Gause Blvd Ste 101, Slidell, LA 70458-2951 | 2019-09-20 |
| 1306341110 | Alfonso Pharmacy LLC | Pharmacy | 1203 Robert Blvd, Slidell, LA 70458-2015 | 2018-03-26 |
| Find all providers in SLIDELL | ||||
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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.