NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

WINN DIXIE #445
LBN WINN DIXIE STORES INC.

Community/Retail Pharmacy

Contact Information

WINN DIXIE #445
LBN WINN DIXIE STORES INC.
500 INVERNESS CORNERS
HOOVER, AL35242
 Phone: 205-555-1212
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for WINN DIXIE #445

NPI Number 1174958482
LBN Legal business name WINN DIXIE STORES INC.
DBA Doing business as WINN DIXIE #445
Authorized official M. SANDLIN GRIMM - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/05/2013
Last updated 06/10/2015 - More than a year ago
Identifiers
AL Medicaid 153831
AL Medicaid 155500
AL Medicare NSC 0556050991
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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