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

NPI Status: Active since April 12, 2022

Contact Information

13000 SE TRADITION PARKWAY
PORT ST. LUICE, FL
ZIP 34987
Phone: (772) 241-6132

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  • Organization
  • Department of Veterans Affairs (VA) Phar...
  • CLIA Number: 10D2257968
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 04-13-2028

About FLORIDA DEPARTMENT OF VETERANS' AFFAIRS

This page provides the complete NPI Profile along with additional information for Florida Department Of Veterans' Affairs, a provider established in Port St. Luice, Florida operating as a Department Of Veterans Affairs (va) Pharmacy. The healthcare provider is registered in the NPI registry with number 1356083075 assigned on April 2022. The practitioner's primary taxonomy code is 332100000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Connie Sue Tolley (Director Fdva Homes)

NPI
1356083075
Provider Name
FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
Entity Type
Organization
Location Address
13000 SE TRADITION PARKWAY PORT ST. LUICE, FL 34987
Location Phone
(772) 241-6132
Mailing Address
13000 SE TRADITION PARKWAY PORT ST. LUICE, FL 34987
Mailing Phone
(772) 241-6132
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-12-2022
Last Update Date
04-12-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Department of Veterans Affairs (VA) Pharmacy

Taxonomy Code
332100000X
Type
Suppliers
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CONNIE SUE TOLLEY

Authorized Official Title
DIRECTOR FDVA HOMES
Authorized Official Phone
(727) 518-3203

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2257968
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
April 14, 2026
Certificate Expiration Date
April 13, 2028
Laboratory Director
SHEERIN PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Florida Department Of Veterans' Affairs to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356083075, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 0 → 0 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 0 + 8 + 6 + 0 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1356083075.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356083075, enumerated as an "organization" on April 12, 2022.

The provider is located at 13000 SE TRADITION PARKWAY PORT ST. LUICE, FL 34987 and the phone number is (772) 241-6132.

Department of Veterans Affairs (VA) Pharmacy with taxonomy code 332100000X.