Winn-Dixie Pharmacy #482

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHRE007773 Issued in GA

Legal business name

WINN-DIXIE PHARMACY #482

Practice address

1100 Hunt Avenue
Columbus, GA 31907

Phone

(706) 562-8330

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

David Nance, REG PHARMACIST

Title

Pharmacist in Charge

Phone

(706) 562-8330

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548337686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HUNT AVENUE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31907",
            "telephone_number": "706-562-8330",
            "fax_number": "706-562-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HUNT AVENUE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31907",
            "telephone_number": "706-562-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN-DIXIE PHARMACY #482",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NANCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "706-562-8330",
        "authorized_official_credential": "REG PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE007773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "044611",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF OCCUPANCY",
            "identifier": "007773",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Ronald Winchester, DDS, PC
• Toya Winder
• Tiffany Winchester Windham, SLP
• Jessica Windon, FNP-C
• Felicia Nicole Winfree
• Winship Clinic,P.C.
• Andrea Winston, LPC
• Kacey Winston
• Roderick Winston
• Carlos Rodriguez Wise, MD

• Community/Retail Pharmacy in Columbus, GA
• Providers in Columbus, GA by specialty
• Community/Retail Pharmacy in Georgia

• 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.

Verify at the official NPI Registry.