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Organization Active NPI

Mayo Clinic Jacksonville

Doing business as Mayo Clinic Home Infusion Pharmacy

  • Home Infusion Therapy Pharmacy
  • Jacksonville, FL
National Provider Identifier
1003510116
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
MAYO CLINIC JACKSONVILLE
Doing business as
Mayo Clinic Home Infusion Pharmacy
Practice address
4500 San Pablo Rd S Ste 2131
Jacksonville, FL 32224-1865
Phone
(904) 956-2000
NPI assigned
Mar 30, 2023
Last updated
Apr 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alice Rigdon
Title
Cfo
Phone
(904) 953-4388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X Primary

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 1

  • Mayo Clinic Home Infusion Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001003343 FL DME Supplier - Pharmacy 5698689297 Practice locations: Jacksonville, FL

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mayo Clinic5 organizations share this tax ID, including this one
Part of
Mayo Clinic

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

14390 Mayo Blvd
Jacksonville, FL 32224
Phone (904) 223-1700

4315 Pablo Oaks Ct
Jacksonville, FL 32224
Phone (904) 953-7286

4500 San Pablo Rd S
#2131
Jacksonville, FL 32224
Phone (904) 956-2000

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mayo Clinic JacksonvilleJacksonville, FL, CCN 100151 Hospital Operational/Managerial Control Jan 1, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1,885

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,885

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1003510116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "address_2": "JAMG STE 2131",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S STE 2131",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-956-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "RIGDON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "904-953-4388"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayo Clinic Home Infusion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.