Active NPI
Winn Dixie Pharmacy
- Community/Retail Pharmacy
- Delray Beach, FL
National Provider Identifier
1184725350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WINN DIXIE PHARMACY
- Practice address
- 14595 Military TRL
Delray Beach, FL 33484-3730 - Phone
- (561) 637-2364
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin M Ellis, PHARM-D
- Title
- Staff Pharmacy
- Phone
- (561) 637-2364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
14595 Military TRL
Delray Beach, FL 33484-3730
Mailing address
10004 Winding Lake Rd Apt 102
Sunrise, FL 33351-5834
Phone (954) 749-3518
National Provider Directory
National Provider DirectoryLocations
14595 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-2363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184725350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10004 WINDING LAKE RD APT 102",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333515834",
"telephone_number": "954-749-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14595 MILITARY TRL",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334843730",
"telephone_number": "561-637-2364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINN DIXIE PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "STAFF PHARMACY",
"authorized_official_telephone_number": "561-637-2364",
"authorized_official_credential": "PHARM-D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.