Winn-Dixie

Primary specialty

PharmacistTaxonomy code 183500000X

License

21410 Issued in FL

Legal business name

WINN-DIXIE

Practice address

100 Canaveral Plaza Blvd
Cocoa Beach, FL 32931-3520

Phone

(321) 868-2287

Fax

(321) 784-8768

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Susan L Neale, RPH

Title

Pharmacy Manager

Phone

(321) 868-2287

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790877926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CANAVERAL PLAZA BLVD",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313520",
            "telephone_number": "321-868-2287",
            "fax_number": "321-784-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CANAVERAL PLAZA BLVD",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313520",
            "telephone_number": "321-868-2287",
            "fax_number": "321-784-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN-DIXIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEALE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "321-868-2287",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "21410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Leslie Westcott, APRN
• Michael Paul Widick, MD
• Catherine Wiechecki Vergara, D.D.S.
• Andrea L Williams, APRN
• Christine Debra Wilson, APRN
• Jeffrey Wolszczak, DO
• Will Wei Xiong, M.D., PH.D.
• Donna Marie Yonkosky, M.D., PH.D.
• Lucy Weinor Yu, ACUPUNCTURE PHYSICIA
• Wu Zhuge, M. D.

• Pharmacist in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Pharmacist in Florida

• 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.