OrganizationActive
Jefferson Pharmacy LLC
NPI 1891193017 · Community/Retail Pharmacy · Jacksonville, FL
Jefferson Pharmacy LLC is a Community/Retail Pharmacy organization in Jacksonville, FL (NPI 1891193017).
Provider details
- NPI number
- 1891193017
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Craig Johanson, Owner/Manager(904) 638-9515
- License
- PH28757 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2683 Saint Johns Bluff Rd S Ste 127
Jacksonville, FL 32246-3765
Phone: (904) 516-8278
Fax: (904) 513-9293
Street-level locationGet directions
Mailing address
2683 Saint Johns Bluff Rd S Ste 127
Jacksonville, FL 32246-3765
Other names (DBA / former)
- Doing business as
- Jefferson Pharmacy, LLC
Registry dates
- Enumerated
- 2014-12-22
- Last updated
- 2017-01-18
Frequently asked questions
- What is Jefferson Pharmacy LLC's NPI number?
- Jefferson Pharmacy LLC's National Provider Identifier (NPI) is 1891193017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Pharmacy LLC?
- Jefferson Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jefferson Pharmacy LLC located?
- Jefferson Pharmacy LLC's practice location on file with NPPES is 2683 Saint Johns Bluff Rd S Ste 127, Jacksonville, FL 32246-3765.
- What is Jefferson Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Pharmacy LLC is (904) 516-8278.
- Who is the authorized official for Jefferson Pharmacy LLC?
- The authorized official listed on Jefferson Pharmacy LLC's NPPES record is Craig Johanson, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Pharmacy LLC's NPI active?
- Yes — Jefferson Pharmacy LLC's NPI (1891193017) is active in the NPPES registry as of the last update on 2017-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.