Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
NPI 1356083075
Department of Veterans Affairs (VA) Pharmacy in Port St. Luice, FL

Active since April 12, 2022CLIA 10D2257968 · Waiver
13000 SE TRADITION PARKWAY, PORT ST. LUICE, FL 34987(772) 241-6132 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2026, Apr 12, 2022 (2 updates tracked since 2022).

About Florida Department Of Veterans' Affairs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA DEPARTMENT OF VETERANS' AFFAIRS (NPI 1356083075) is a healthcare organization registered as a department of veterans affairs (va) pharmacy in Port St. Luice, Florida and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through April 13, 2028 and lists Connie Sue Tolley, Director Fdva Homes, as its authorized official.

NPPES Registry Identity

NPI1356083075
Entity TypeOrganization
Primary Taxonomy332100000X
Legal Business NameFLORIDA DEPARTMENT OF VETERANS' AFFAIRS
Location Address13000 SE TRADITION PARKWAYPort St. Luice, FL 34987
Mailing Address13000 Se Tradition ParkwayPort St. Luice, FL 34987 · (772) 241-6132
Organization SubpartYes
Authorized OfficialConnie Sue TolleyDirector Fdva Homes · (727) 518-3203
Enumeration DateApril 12, 2022
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
NPI 1356083075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDepartment of Veterans Affairs (VA) PharmacySuppliers
Taxonomy Code332100000X
Definition

Department of Veterans Affairs (VA) Pharmacy means any place under VA jurisdiction where drugs are dispensed and Pharmaceutical Care is provided to enrolled Veterans, by licensed pharmacists. The Pharmacy is reviewed by JCAHO, utilizes the VA hospital's DEA number, and has a designated NCPDP number. VA facility pharmacies include Inpatient (Institutional), Outpatient, Consolidated Mail Outpatient Pharmacies (CMOPs), Research, Addiction Treatment Centers, Long Term Care and Community Based Outpatient Clinics Pharmacies. The VHA Pharmacy Benefits Management - Strategic Healthcare Group has oversight for professional and practice activities of VA Pharmacies. Each pharmacy is under the direct supervision of a U.S. or U.S. territory licensed pharmacist, and has staffing to meet its designated scope of service.

13000 SE TRADITION PARKWAY, Port St. Luice, FL 34987

Other Names 1

Other NameArdie R. Copas State Veterans Nursing Home - Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2257968

Florida Department Of Veteran Affairs · Port Saint Lucie, FL
Active · expires Apr 13, 2028
CLIA Number10D2257968
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorSheerin Patel
Laboratory Phone(772) 241-6132
Laboratory LocationFlorida Department Of Veteran Affairs13000 SW Tradition Parkway, Port Saint Lucie, FL 34987
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Department Of Veterans' Affairs's NPI number?

The NPI number for Florida Department Of Veterans' Affairs is 1356083075. It was assigned to this organization in the NPPES registry on April 12, 2022. The provider is also known as Ardie R. Copas State Veterans Nursing Home - Pharmacy.

Where is Florida Department Of Veterans' Affairs located?

Florida Department Of Veterans' Affairs is located at 13000 SE Tradition Parkway, Port St. Luice, FL 34987. The listed phone number is (772) 241-6132.

What is Florida Department Of Veterans' Affairs's specialty?

The primary specialty registered for this NPI is Department of Veterans Affairs (VA) Pharmacy with taxonomy code 332100000X.

Does Florida Department Of Veterans' Affairs hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2257968) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Department Of Veterans' Affairs was last updated on July 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.