Susan Dubose
NPI 1366721904ActiveOrganization· Pharmacy· Macclenny, FL
Pharmacy in Macclenny, Florida, registered in NPPES in August 2011, part of Winn Dixie 0144. The authorized official on file is Lonna Wilkes, PHARMD, Pharmacist.
Overview
| NPI | 1366721904 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Winn Dixie 0144 |
| NPI issued | Aug 14, 2011 |
| Last updated in NPPES | Aug 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | EH11591 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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