WINN DIXIE STORES INC (NPI# 1063433431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063433431 |
| Entity Type | Organization |
| Organization Name | WINN DIXIE STORES INC |
| Other Organization Name | WINN DIXIE |
| Practice Address |
4478 Market St Marianna FL 32446 |
| Mailing Address |
Po Box 2209 Jacksonville FL 32203-2209 |
| Practice Telephone | 8505261800 |
| Practice Fax Number | 8505261866 |
| 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 | PH15665 | FL | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH15665 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 106271900 | 05 | |
| OTHER ID NUMBER | 1081431 | 01 | |
| FL | 106271901 | 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 |
4478 MARKET ST |
| City | MARIANNA |
| State | FL |
| Zip Code | 32446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437230539 | Jarrod Allen Tidwell | Pharmacist | 4478 Market St, Marianna, FL 32446 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
| 1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
| 1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
| 1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
| 1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
| 1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
| 1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
| 1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
| 1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
| 1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
| Find all providers in zip 32446 | ||||
| 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 |
|---|---|---|---|---|
| 1851433858 | Lee County Cooperative Clinic | Pharmacy | 530 Atkins Blvd, Marianna, AR 72360-2113 | 2007-02-13 |
| 1639260474 | Polk Pharmacy Inc | Pharmacy | 4 S Poplar St, Marianna, AR 72360-2320 | 2006-09-27 |
| 1538263421 | Holiday Cvs LLC | Pharmacy | 4684 Highway 90, Marianna, FL 32446 | 2006-09-12 |
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| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| 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.