OrganizationActive
Susan Dubose
NPI 1366721904 · Pharmacy · Macclenny, FL
Susan Dubose is a Pharmacy organization in Macclenny, FL (NPI 1366721904).
Provider details
- NPI number
- 1366721904
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Winn Dixie 0144
- Organization subpart
- Yes
- Authorized official
- Lonna Wilkes, Pharmacist(904) 259-5868
- License
- EH11591 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1436 S 6th St
Macclenny, FL 32063-4623
Phone: (904) 259-5868
Fax: (904) 259-5275
Street-level locationGet directions
Mailing address
1436 S 6th St
Macclenny, FL 32063-4623
Registry dates
- Enumerated
- 2011-08-14
- Last updated
- 2011-08-14
Frequently asked questions
- What is Susan Dubose's NPI number?
- Susan Dubose's National Provider Identifier (NPI) is 1366721904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Susan Dubose?
- Susan Dubose is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Susan Dubose located?
- Susan Dubose's practice location on file with NPPES is 1436 S 6th St, Macclenny, FL 32063-4623.
- What is Susan Dubose's phone number?
- The practice phone number listed in the NPPES registry for Susan Dubose is (904) 259-5868.
- Who is the authorized official for Susan Dubose?
- The authorized official listed on Susan Dubose's NPPES record is Lonna Wilkes, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Susan Dubose's NPI active?
- Yes — Susan Dubose's NPI (1366721904) is active in the NPPES registry as of the last update on 2011-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.