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JEFFERSON PHARMACY, LLC
NPI 1891193017
Pharmacy - Community/Retail Pharmacy in Jacksonville, FL

Active since December 22, 2014
2683 SAINT JOHNS BLUFF RD S STE 127, JACKSONVILLE, FL 32246(904) 516-8278(904) 513-9293 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Pharmacy, Llc NPPES

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

JEFFERSON PHARMACY, LLC (NPI 1891193017) is a healthcare organization registered as a community/retail pharmacy in Jacksonville, Florida and active in the NPI registry since December 2014. The organization lists Craig Johanson, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1891193017
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJEFFERSON PHARMACY LLC
Location Address2683 SAINT JOHNS BLUFF RD S STE 127Jacksonville, FL 32246-3765
Mailing Address2683 Saint Johns Bluff Rd S Ste 127Jacksonville, FL 32246-3765 · (904) 516-8278 · Fax (904) 647-1510
Phone(904) 516-8278
Fax(904) 513-9293
Organization SubpartNo
Authorized OfficialCraig JohansonOwner/manager · (904) 638-9515
Enumeration DateDecember 22, 2014
Last NPPES UpdateJanuary 18, 2017
✔ NPI 1891193017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH28757
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.
2683 SAINT JOHNS BLUFF RD S STE 127, Jacksonville, FL 32246
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Other Names 1

Doing Business AsJefferson Pharmacy, Llc

Other Identifiers 1

Other2149467Pk

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 Jefferson Pharmacy LLC's NPI number?

The NPI number for Jefferson Pharmacy LLC is 1891193017. It was assigned to this organization in the NPPES registry on December 22, 2014. The provider is doing business as Jefferson Pharmacy, LLC.

Where is Jefferson Pharmacy LLC located?

Jefferson Pharmacy LLC is located at 2683 Saint Johns Bluff Rd S Ste 127, Jacksonville, FL 32246. The listed phone number is (904) 516-8278.

What is Jefferson Pharmacy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jefferson Pharmacy LLC was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.