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ST LUKES - ST VINCENTS HEALTHCARE
NPI 1790879732
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Active since October 03, 2006
1 SHIRCLIFF WAY, STE 1734, JACKSONVILLE, FL 32204(904) 308-7515(904) 308-7514 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Sep 26, 2024, Dec 22, 2020 and 2 more (5 updates tracked since 2017).

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 1790879732), doing business as Ascension Rx 1403, is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since October 2006. The organization lists Coba Susan Cornejo, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1790879732
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameST LUKES - ST VINCENTS HEALTHCARE
Location Address1 SHIRCLIFF WAY, STE 1734Jacksonville, FL 32204
Mailing Address1 Shircliff Way, Ste 1734Jacksonville, FL 32204 · (904) 308-7515 · Fax (904) 308-7514
Phone(904) 308-7515
Fax(904) 308-7514
Organization SubpartNo
Authorized OfficialCoba Susan CornejoChief Operating Officer · (803) 463-5837
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1790879732 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.
1 SHIRCLIFF WAY, Jacksonville, FL 32204
Open in Google Maps ↗

Other Names 1

Doing Business AsAscension Rx 1403

Other Identifiers 2

Medicaid022451100FL
Medicaid22451101FL

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)20412281
Medicare Participant SinceAugust 26, 2020
Supplier Location1 Shircliff Way Ste 1734Jacksonville, FL 32204
Phone(904) 308-7515
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 20

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

COMPREHENSIVE CARE PARTNERS LLC
Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (352) 250-2650
DR. SARAH ANNE PISCITELLO CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 477-5855
MRS. JENNIFER ANNE ALLEN NP
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MAX T BILLINGSLEY MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Duval County (904) 346-5426
TABITHA JAY BARRETT CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (954) 939-5216
PAUL D LUCEY MD
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
WILBUR L AUGENSTEIN MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
CHANEL WOOD MD
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300

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 1790879732. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Ascension Rx 1403.

Where is St Lukes - St Vincents Healthcare located?

St Lukes - St Vincents Healthcare is located at 1 Shircliff Way Ste 1734, Jacksonville, FL 32204. The listed phone number is (904) 308-7515.

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 September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.