Winn -Dixie Pharmacy

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PS41329 Issued in FL

Legal business name

WINN -DIXIE PHARMACY

Practice address

1860 Hwy 60 E
Lake Wales, FL 33853-4368

Phone

(863) 676-2266

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Stejo Abraham, RPH

Title

Pharmacist

Phone

(813) 684-9492

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1689822348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HWY 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534368",
            "telephone_number": "863-676-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 HWY 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534368",
            "telephone_number": "863-676-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN -DIXIE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "STEJO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "813-684-9492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "PS41329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamesha Williams
• Mary Williamson
• Chester C Wilmot, M.D.
• Audranay Shavone Wilson
• Tatyana Wimbley
• Richard L. Witcher, RPH
• Brandon Tyler Worley, MD
• Zarzuela LLC

• Point of Service in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.