Mayo Clinic Jacksonville
Organization Active NPI Home Infusion Therapy Pharmacy · Jacksonville, FL
NPI 1003510116 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1003510116
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Infusion Therapy Pharmacy 3336H0001X
- Legal business name
- MAYO CLINIC JACKSONVILLE
- Practice address
- 4500 San Pablo Rd S Ste 2131
Jacksonville, FL 32224-1865 - Phone
- (904) 956-2000
- NPI assigned
- Mar 30, 2023
- Organization subpart
- No
Authorized official
- Name
- Alice Rigdon
- Title
- Cfo
- Phone
- (904) 953-4388
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 4
Member of 1
Practitioners 1,993
-
Ejigayehu Abate, MD
-
Suhny Abbara, MD
-
Sara Abbas, PA-C
-
Carol Ann Abbott, ARNP, FNP-C
-
Martin Abel, MD
-
Andy Abril, MD
-
Aida Abud, PT
-
Marites Acampora, APRN
-
Joseph Accurso, MD
-
Michael Adalia, DNP
-
Demilade Adedinsewo, MBCHB
-
Paula Andrea Aduen, PHD
-
Shweta Agarwal, MD
-
Ali Agely, MD
-
Ana Gabriela Ahn, APRN
-
Meghna Ailawadhi, MD
-
Ayodeji Morenike Ajayi, MD, MPH
-
Catherine Raney Akin, APRN
-
Jana G Al Hashash, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Mayo Clinic Jacksonville |
Hospital | Operational/Managerial Control | Jan 1, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241001003343 | FL | DME Supplier - Pharmacy | 5698689297 | Practice locations: Jacksonville, FL |
National Provider Directory
- Tax ID family
- Mayo Clinic Jax Medical
- Part of
- Mayo Clinic Jax Medical
Locations
4634 Worrall Way
Jacksonville, FL 32224
4500 San Pablo Rd S
#2131
Jacksonville, FL 32224
Phone (904) 956-2000
14390 Mayo Blvd
Jacksonville, FL 32224
Phone (904) 223-1700
4500 San Pablo Rd S
#6N
Jacksonville, FL 32224
Phone (904) 953-2589
1409 Kingsley Ave
#14
Orange Park, FL 32073
Phone (904) 953-2934
110 Southwood Lake Dr
St Augustine, FL 32086
Phone (904) 794-2777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | Yes |
Addresses
Primary practice location
4500 San Pablo Rd S Ste 2131
Jacksonville, FL 32224-1865
Mailing address
4500 San Pablo Rd S
Jamg Ste 2131
Jacksonville, FL 32224-1865
Other names
- Mayo Clinic Home Infusion Pharmacy
Other providers in Jacksonville, FL
- Alyssa Grace Maynor
- Jennifer Maynor
- Mayo Clinic
- Mayo Clinic Florida
- Mayo Clinic Florida
- Mayo Clinic Jacksonville
- Mayo Clinic Jacksonville
- Mayo Clinic Jacksonville
- Mayo Clinic Jacksonville
- Mayo Clinic Jacksonville
All providers in Jacksonville, FL · Home Infusion Therapy Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.