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SHANDS JACKSONVILLE MEDICAL CENTER INC NPI 1639267222


NPI Information

NPI: 1639267222
Provider Name: SHANDS JACKSONVILLE MEDICAL CENTER INC

Doing Business As: SHANDS JACKSONVILLE AMBULATORY PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 10D0268906

Address:
655 W 8TH ST
1ST FLOOR, ACC BLDG.
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-4542
Get Directions

SHANDS JACKSONVILLE MEDICAL CENTER INC is a pharmacy in Jacksonville, FL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SHANDS JACKSONVILLE MEDICAL CENTER INC NPI is 1639267222. The provider is registered as an organization entity type.
The provider Is Doing Business As Shands Jacksonville Ambulatory Pharmacy.

The provider's business location address is:

655 W 8TH ST
1ST FLOOR, ACC BLDG.
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-4542
Fax: (904) 244-4998

The provider's authorized official is Dean Cocchi .
The authorized official title is Vice President And Cfo Of Finance and has the following contact phone number (904) 244-5013.

The CLIA number assigned to this NPI record is 10D0268906 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 2/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
3333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11029164OTHERNCPDP
20217042-00MEDICAIDFLORIDA
3PH16886OTHERFLORIDAPHARMACY LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.