FLORIDA DEPARTMENT OF VETERANS' AFFAIRS
NPI 1356083075
Department of Veterans Affairs (VA) Pharmacy in Port St. Luice, FL
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
Specialties & Licenses
Other Names 1
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, FLFrequently 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Florida Department Of Veterans' Affairs · NPI 1356083075
Department of Veterans Affairs (VA) Pharmacy organization in Port St. Luice, Florida. Organization record, active in the CMS NPPES registry since April 12, 2022.
## Identity
- **NPI:** 1356083075 (Entity type: Organization)
- **Enumerated:** April 12, 2022
- **Primary specialty:** Department of Veterans Affairs (VA) Pharmacy · taxonomy 332100000X
- **Also known as:** Ardie R. Copas State Veterans Nursing Home - Pharmacy (Other Name)
- **Organization subpart:** Yes (part of Florida Department Of Veterans' Affairs)
- **Authorized official:** Connie Tolley, DIRECTOR FDVA HOMES
## Practice location
- **Address:** 13000 SE TRADITION PARKWAY, Port St. Luice, FL 34987
- **Phone:** (772) 241-6132
## Record status
- **NPPES last updated:** July 8, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356083075) · Data from the CMS NPPES public registry.