Winners Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH25511 Issued in FL

Legal business name

WINNERS PHARMACY INC.

Practice address

17050 N US Highway 301 Ste 5
Citra, FL 32113-2515

Phone

(352) 595-1110

Fax

(352) 595-1120

NPI assigned

Jun 23, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenneth Obimdike

Title

Director/Pharmacist

Phone

(352) 595-1110

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Winners' pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1104112671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 N US HIGHWAY 301 STE 5",
            "city": "CITRA",
            "state": "FL",
            "postal_code": "321132515",
            "telephone_number": "352-595-1110",
            "fax_number": "352-595-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 N US HIGHWAY 301 STE 5",
            "city": "CITRA",
            "state": "FL",
            "postal_code": "321132515",
            "telephone_number": "352-595-1110",
            "fax_number": "352-595-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNERS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "OBIMDIKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DIRECTOR/PHARMACIST",
        "authorized_official_telephone_number": "352-595-1110"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH25511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5706291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winners' pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ingrid Vincent
• Jared Wannenwetsch, D.C.
• Concordiajo Whitaker
• Ivan White
• Michele Correne White, D.D.S.

• All providers in Citra, FL
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.