WINN DIXIE STORES INC (NPI# 1881616423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881616423 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Practice Address |
1151 Ross Clark Cir Dothan AL 36301-3021 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 3346731804 |
| Practice Fax Number | 3346731903 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-02-06 |
| 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 | 111332 | AL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
111332 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 0128682 | 01 | |
| AL | 009943047 | 05 | |
| AL | 100039128 | 05 |
| 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 |
1151 ROSS CLARK CIR |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407061484 | Cindy Womack | Pharmacist | 1151 Ross Clark Cir, Dothan, AL 36301-3021 | 2007-05-11 |
| 1215156716 | Shannon Richard Womack | Pharmacist | 1151 Ross Clark Cir, Dothan, AL 36301-3021 | 2007-04-24 |
| 1518069509 | Michael W Garland | Pharmacist | 1151 Ross Clark Cir, Dothan, AL 36301-3021 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| 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 |
|---|---|---|---|---|
| 1568990125 | Southeast Pharmacy, LLC. | Pharmacy | 1108 Ross Clark Cir Ste 160, Dothan, AL 36301-3022 | 2017-05-26 |
| 1922448547 | Mij LLC | Pharmacy | 2812 Hartford Hwy, Suite 1, Dothan, AL 36305-4927 | 2013-06-27 |
| 1245380591 | Alabama Cvs Pharmacy LLC | Pharmacy | 4601 Montgomery Hwy Ste 300, Dothan, AL 36303-1522 | 2007-01-11 |
| 1225133275 | Bowen Pharmacy LLC | Pharmacy | 110 Healtheast Drive, Dothan, AL 36303-1282 | 2006-09-14 |
| 1801999321 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1270 W Main St, Dothan, AL 36301-1414 | 2006-09-07 |
| 1760585491 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 1955 E Main St, Dothan, AL 36301-3015 | 2006-09-07 |
| 1508969049 | Scott Cook Pharmacy | Pharmacy | 1233 Westgate Pkwy, Dothan, AL 36303 | 2006-09-07 |
| 1003921024 | Generic Pharmacy | Pharmacy | 2115 E Main St, Ste 3, Dothan, AL 36301-3044 | 2006-08-20 |
| 1780178640 | Nicholas Andrew Gillespie | Pharmacy | 3300 S Oates St, Dothan, AL 36301-5694 | 2018-06-14 |
| 1104359041 | Dothan Rx LLC | Pharmacy | 287 Healthwest Dr, Dothan, AL 36303-2031 | 2017-04-07 |
| Find all providers in DOTHAN | ||||
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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.