WINN DIXIE STORES INC (NPI# 1972525509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972525509 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Other Organization Name | WINN DIXIE |
| Practice Address |
13002 Coursey Blvd Baton Rouge LA 70816-4964 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 2257567110 |
| Practice Fax Number | 2257567109 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2016-09-23 |
| 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.006553-RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1233561 | 05 | |
| OTHER ID NUMBER | 1929352 | 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 |
| 1114949757 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 132 S Tyndall Pkwy, Parker, FL 32404-6721 | 2006-07-24 |
| 1760404305 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5250 Moncrief Rd W, Jacksonville, FL 32209-1048 | 2006-07-24 |
| Street Address |
13002 COURSEY BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-4964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710370150 | Vanessa Mickles | Pharmacist | 13002 Coursey Blvd, Baton Rouge, LA 70816-4964 | 2015-03-10 |
| 1043603467 | Rebecca Mcwilliams | Pharmacist | 13002 Coursey Blvd, Baton Rouge, LA 70816-4964 | 2015-03-09 |
| 1558765834 | Ny Le | Pharmacist | 13002 Coursey Blvd, Baton Rouge, LA 70816-4964 | 2014-10-15 |
| 1265749725 | Sandi Thibodeaux Townsend | Pharmacist | 13002 Coursey Blvd, Baton Rouge, LA 70816-4964 | 2010-09-04 |
| 1821180589 | Rachel Kathryn Gamble | Pharmacist | 13002 Coursey Blvd, Baton Rouge, LA 70816 | 2006-09-29 |
| 1235221953 | Sharon Kay Pater | Pharmacist | 13002 Coursey Blvd, Baton Rouge, LA 70816 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| 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 |
|---|---|---|---|---|
| 1639779788 | Harvey Lee Smith Jr. | Pharmacy | 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 | 2020-10-28 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1518590769 | La Farmacis, LLC | Pharmacy | 9301 Burbank Dr, Baton Rouge, LA 70820-8604 | 2020-02-17 |
| 1427695618 | Texas Digestive Disease Consultants, Pllc | Pharmacy | 9103 Jefferson Hwy Ste 200, Baton Rouge, LA 70809-2440 | 2019-12-06 |
| 1912552167 | Healthlogic Family Pharmacy LLC | Pharmacy | 12351 Industriplex Blvd Ste 1, Baton Rouge, LA 70809-5125 | 2019-08-05 |
| 1720545171 | Ptg2, LLC | Pharmacy | 6251 Perkins Rd Ste C, Baton Rouge, LA 70808-4167 | 2019-02-21 |
| 1548734874 | Apothecare Pharmacy Baton Rouge | Pharmacy | 2370 Towne Center Blvd Ste 103, Baton Rouge, LA 70806-8172 | 2019-01-21 |
| 1225512767 | Louisiana State University | Pharmacy | 1 North Stadium Drive, Broussard Center for Athletic Training, Baton Rouge, LA 70803 | 2018-09-20 |
| 1356878839 | Healthlogic Pharmacy Solutions 2 LLC | Pharmacy | 11441 Industriplex Blvd Ste 150, Baton Rouge, LA 70809-4299 | 2017-05-16 |
| 1245777366 | Red Stick Pharmacy LLC | Pharmacy | 18181 Jefferson Hwy Ste 101, Baton Rouge, LA 70817-7424 | 2017-01-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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.