Shands Jacksonville Medical Center Inc
NPI 1639267222ActiveOrganization· Pharmacy· Jacksonville, FL
Pharmacy in Jacksonville, Florida, registered in NPPES in October 2006, part of Shands Jacksonville Medical Center, Inc. The authorized official on file is Dean Cocchi, Vice President And Cfo Of Finance. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - pharmacy.
Overview
| NPI | 1639267222 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Shands Jacksonville Medical Center, Inc. |
| NPI issued | Oct 10, 2006 |
| Last updated in NPPES | Jul 22, 2024 |
| Certified by provider | Jul 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (FL); Part B Supplier - Pharmacy (FL) |
|---|
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