MAYO CLINIC JACKSONVILLE
NPI 1558350413
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Q: What is Mayo Clinic Jacksonville's NPI number?

The NPI number for Mayo Clinic Jacksonville is 1558350413. It was assigned to this organization in the NPPES registry on October 13, 2005. The provider is doing business as Mayo Clinic Jacksonville Outpatient Pharmacy.

Q: What is Mayo Clinic Jacksonville's specialty?

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

Active since October 13, 2005

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-7355(904) 953-1768 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Jun 26, 2025, Apr 1, 2021 (3 updates tracked since 2021).

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About Mayo Clinic Jacksonville NPPES

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

MAYO CLINIC JACKSONVILLE (NPI 1558350413), doing business as Mayo Clinic Jacksonville Outpatient Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since October 2005. The organization lists Alice Rigdon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1558350413

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameMAYO CLINIC JACKSONVILLE

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-7355 · Fax (904) 953-1768

Phone(904) 953-7355

Fax(904) 953-1768

Organization SubpartNo

Authorized OfficialAlice RigdonChief Financial Officer · (904) 953-0577

Enumeration DateOctober 13, 2005

Last NPPES UpdateApril 15, 20263 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1558350413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPharmacyTaxonomy 333600000X

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Other Names 1

Doing Business AsMayo Clinic Jacksonville Outpatient Pharmacy

Other Identifiers 2

Medicaid009241600FL

OtherPH14369FL · License Number

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, AvMed and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

KATHERINE L WALSH PA-C/MPH

Physician Assistant