St Lukes - St Vincents Healthcare
NPI 1790879732 · Community/Retail Pharmacy · Jacksonville, FL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Lukes - St Vincents Healthcare is a Community/Retail Pharmacy organization in Jacksonville, FL (NPI 1790879732).
Provider details
- NPI number
- 1790879732
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Coba Cornejo, Chief Operating Officer(803) 463-5837
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ascension Rx 1403
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2025-09-02
- Certified
- 2024-09-26
Frequently asked questions
- What is St Lukes - St Vincents Healthcare's NPI number?
- St Lukes - St Vincents Healthcare's National Provider Identifier (NPI) is 1790879732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Lukes - St Vincents Healthcare?
- St Lukes - St Vincents Healthcare is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is St Lukes - St Vincents Healthcare located?
- St Lukes - St Vincents Healthcare's practice location on file with NPPES is 1 Shircliff Way, Jacksonville, FL 32204.
- What is St Lukes - St Vincents Healthcare's phone number?
- The practice phone number listed in the NPPES registry for St Lukes - St Vincents Healthcare is (904) 308-7515.
- Does St Lukes - St Vincents Healthcare accept Medicare?
- St Lukes - St Vincents Healthcare is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Lukes - St Vincents Healthcare?
- The authorized official listed on St Lukes - St Vincents Healthcare's NPPES record is Coba Cornejo, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Lukes - St Vincents Healthcare's NPI active?
- Yes — St Lukes - St Vincents Healthcare's NPI (1790879732) is active in the NPPES registry as of the last update on 2025-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.