SUSAN DUBOSE
NPI 1366721904
Pharmacy in Macclenny, FL

Q: What is Susan Dubose's NPI number?

The NPI number for Susan Dubose is 1366721904. It was assigned to this organization in the NPPES registry on August 14, 2011.

Q: What is Susan Dubose's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Dubose was last updated on August 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 14, 2011

1436 S 6TH ST, MACCLENNY, FL 32063(904) 259-5868(904) 259-5275 Get Directions Write a Review

NPPES record last updated: August 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Susan Dubose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN DUBOSE (NPI 1366721904) is a healthcare organization registered as a pharmacy in Macclenny, Florida and active in the NPI registry since August 2011. The organization lists Lonna Wilkes, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1366721904

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameSUSAN DUBOSE

Location Address1436 S 6TH STMacclenny, FL 32063-4623

Mailing Address1436 S 6th StMacclenny, FL 32063-4623 · (904) 259-5868 · Fax (904) 259-5275

Phone(904) 259-5868

Fax(904) 259-5275

Organization SubpartYesParent: Winn Dixie 0144

Authorized OfficialLonna WilkesPharmacist · (904) 259-5868

Enumeration DateAugust 14, 2011

✔ NPI 1366721904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in FL · EH11591

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

1436 S 6TH ST, Macclenny, FL 32063

Open in Google Maps ↗

Other Identifiers 1

Medicaid101160000FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEIDI JOAN VASSALLO CPHT

Pharmacy Technician

1436 S 6TH ST
MACCLENNY, FL 32063

Baker County (904) 259-5824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Dubose's NPI number?

The NPI number for Susan Dubose is 1366721904. It was assigned to this organization in the NPPES registry on August 14, 2011.

Where is Susan Dubose located?

Susan Dubose is located at 1436 S 6th St, Macclenny, FL 32063. The listed phone number is (904) 259-5868.

What is Susan Dubose's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Susan Dubose was last updated on August 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.