WINN DIXIE STORES INC


Address: 5207 Normandy Blvd, Jacksonville, FL 32205-4827
Phone: 9047864639

WINN DIXIE STORES INC (NPI# 1104847409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104847409
Entity Type Organization
Organization Name WINN DIXIE STORES INC
Other Organization Name WINN DIXIE
Practice Address 5207 Normandy Blvd
Jacksonville
FL 32205-4827
Mailing Address Po Box 2209
Jacksonville
FL 32203-2209
Practice Telephone 9047864639
Practice Fax Number 9047867406
Enumeration Date 2006-07-21
Last Update Date 2016-07-28
Authorized Official Name M. SANDLIN GRIMM (VICE PRESIDENT)
Authorized Official Telephone 9047835578
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies PH11576 FL Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PH11576 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL 101157001 05
OTHER ID NUMBER 1066718 01
FL 101115700 05

Other Provider/Organization Names

Other Name Type Code
WINN DIXIE Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 5207 NORMANDY BLVD
City JACKSONVILLE
State FL
Zip Code 32205-4827

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528276987 Nelina Hearne Sabella Pharmacist 5207 Normandy Blvd, Jacksonville, FL 32205-4827 2007-05-18
1326174442 Cho Nkengla Pharmacist 5207 Normandy Blvd, Winn-dixie Pharmacy, Jacksonville, FL 32205-4827 2007-02-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003466830 Brandon Neil Hillard Registered Nurse 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 2019-09-13
1720436363 Ericka Sampson Massage Therapist 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 2016-05-24
1578921631 Northstar Counseling Counselor 1672 Pershing Rd, Jacksonville, FL 32205 2016-02-04
1649645144 Magaly Perez-cruz Speech-Language Pathologist 4101-1 College Street, Jacksonville, FL 32205 2015-12-09
1639448723 First Choice Adult Daycare and Home Health Ca Specialist 5336 Quan Drive, Jacksonville, FL 32205 2011-12-20
1437434222 Christopher Styer Pharmacist 654 Casset Ave, Jacksonville, FL 32205 2011-10-12
1871827279 April Marie Felton Nurse Practitioner 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 2009-10-01
1922244821 Danielle Marie Sergent Physical Therapist 5222 Lenox Ave., Jacksonville, FL 32205 2008-12-23
1427181775 Lapp & Associates Behavioral Counselind Ctr Counselor 931 Cassat Avenue, Jacksonville, FL 32205 2007-03-14
1629143326 Elias Moussa Sargi Dentist 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 2006-11-21
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1275191983 University Pharmacy of Jacksonville, Inc Pharmacy 3901 University Blvd S Ste 237, Jacksonville, FL 32216-4390 2019-05-29
1992273023 Public Square Pharmacy LLC Pharmacy 11757 Beach Blvd Ste 7, Jacksonville, FL 32246-6633 2018-11-07
1841707940 Excel Pharmacy Partners LLC Pharmacy 6817 Southpoint Pkwy Ste 2204, Jacksonville, FL 32216-8200 2018-01-10
1144735556 Costco Wholesale Corporation Pharmacy 8000 Parramore Rd, Jacksonville, FL 32244 2017-12-07
1912418286 Av 1 Pharma LLC Pharmacy 1539 University Blvd N, Jacksonville, FL 32211-5229 2017-10-13
1629589908 A V 2 Pharma LLC Pharmacy 1537 University Blvd N # Dn, Jacksonville, FL 32211-5229 2017-10-13
1881117109 Summit Vision Inc. Pharmacy 3416 Moncrief Rd Ste 101, Jacksonville, FL 32209-4340 2017-07-18
1316486525 Smart Pharmacy Inc Pharmacy 14003 Beach Blvd # 1, Jacksonville, FL 32250-1541 2017-02-21
1033565585 New Lynk, LLC Pharmacy 5800 Beach Blvd Ste 105, Jacksonville, FL 32207-5180 2016-05-13
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Competitor

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City JACKSONVILLE
Zip Code 32205

Improve Information

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Dataset Information

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.

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