Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Lukes - St Vincents Healthcare

Organization Community/Retail Pharmacy · NPI 1366783441

St Lukes - St Vincents Healthcare is a Community/Retail Pharmacy in Jacksonville, Florida. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

4205 Belfort Rd Ste 1003
Jacksonville, FL 32216-5876
Phone: (904) 450-6330
Fax: (833) 347-0804
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1366783441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Coba Cornejo — Chief Operating Officer · (803) 463-5837
Other names Ascension Rx 1402
NPI enumeratedMarch 14, 2013
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address4201 Belfort Rd Ste G361, Jacksonville, FL 32216-1431

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