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ST LUKES - ST VINCENTS HEALTHCARE
NPI 1366783441
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Active since March 14, 2013
4205 BELFORT RD STE 1003, JACKSONVILLE, FL 32216(904) 450-6330(833) 347-0804 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2026, Apr 10, 2025, Sep 26, 2024 and 4 more (7 updates tracked since 2020).

About St Lukes - St Vincents Healthcare NPPES

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

ST LUKES - ST VINCENTS HEALTHCARE (NPI 1366783441), doing business as Ascension Rx 1402, is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since March 2013. The organization lists Coba Susan Cornejo, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1366783441
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameST LUKES - ST VINCENTS HEALTHCARE
Location Address4205 BELFORT RD STE 1003Jacksonville, FL 32216-5876
Mailing Address4201 Belfort Rd Ste G361Jacksonville, FL 32216-1431 · (904) 450-6330 · Fax (833) 347-0804
Phone(904) 450-6330
Fax(833) 347-0804
Organization SubpartNo
Authorized OfficialCoba Susan CornejoChief Operating Officer · (803) 463-5837
Enumeration DateMarch 14, 2013
Last NPPES UpdateJune 3, 20267 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1366783441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4205 BELFORT RD STE 1003, Jacksonville, FL 32216
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Other Names 1

Doing Business AsAscension Rx 1402

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Seton Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Seton Pharmacy Inc

DMEPOS supplier · Jacksonville, FL
✔

Accepts Medicare assignment

Seton Pharmacy Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20412269
Medicare Participant SinceAugust 26, 2020
Supplier Location4201 Belfort RdJacksonville, FL 32216
Phone(904) 450-6330
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

DR. RODOMIR DESIR PHARM.D.
Pharmacist
4205 BELFORT RD STE 1003
JACKSONVILLE, FL 32216
Duval County (904) 450-6330

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 St Lukes - St Vincents Healthcare's NPI number?

The NPI number for St Lukes - St Vincents Healthcare is 1366783441. It was assigned to this organization in the NPPES registry on March 14, 2013. The provider is doing business as Ascension Rx 1402.

Where is St Lukes - St Vincents Healthcare located?

St Lukes - St Vincents Healthcare is located at 4205 Belfort Rd Ste 1003, Jacksonville, FL 32216. The listed phone number is (904) 450-6330.

What is St Lukes - St Vincents Healthcare's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does St Lukes - St Vincents Healthcare accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Seton Pharmacy Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does St Lukes - St Vincents Healthcare accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 32 other insurers list St Lukes - St Vincents Healthcare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Lukes - St Vincents Healthcare was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.