Susan Dubose
Susan Dubose is a healthcare organization registered as Pharmacy in Macclenny, FL, holding Type 2 (organization) NPI 1366721904 since 2011. The authorized official on file is Lonna Wilkes, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1366721904 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Susan Dubose |
| Parent organization | Winn Dixie 0144 |
| Practice address | 1436 S 6TH ST, Macclenny, FL, 32063 |
| Phone | 9042595868 |
| Fax | 9042595275 |
| Enumeration date | 2011-08-14 |
| Last updated in NPPES | 2011-08-14 |
Authorized official
| Name | Lonna Wilkes |
|---|---|
| Title | Pharmacist |
| Phone | 9042595868 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Primary | EH11591 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101160000 | Medicaid | FL | — |
Copy-ready billing details
Provider: Susan Dubose NPI: 1366721904 Taxonomy: 333600000X (Pharmacy) Address: 1436 S 6TH ST, Macclenny, FL, 32063
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154422145 | Heidi Vassallo | Individual | Pharmacy Technician | Macclenny, FL |
Verify this record
Cross-check NPI 1366721904 against the authoritative CMS record: view Susan Dubose on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Susan Dubose?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-08-14.