VIRGINIA ANDES VOLUNTEER COMMUNITY PHARMACY
NPI 1396016945
Pharmacy - Clinic Pharmacy in Port Charlotte, FL

Active since January 13, 2012CLIA 10D1079581 · Waiver
21297 OLEAN BLVD UNIT B, PORT CHARLOTTE, FL 33952(941) 766-9570(941) 249-4609 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Virginia Andes Volunteer Community Pharmacy NPPES

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

VIRGINIA ANDES VOLUNTEER COMMUNITY PHARMACY (NPI 1396016945) is a healthcare organization registered as a clinic pharmacy in Port Charlotte, Florida and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through January 12, 2028 and lists Valeria Fogel, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1396016945
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameST VINCENT DEPAUL VOLUNTEER COMMUNITY PHARMACY
Location Address21297 OLEAN BLVD UNIT BPort Charlotte, FL 33952-4609
Mailing Address21297 Olean Blvd Unit BPort Charlotte, FL 33952-4609 · (941) 766-9570 · Fax (941) 249-4609
Fax(941) 249-4609
Organization SubpartNo
Authorized OfficialValeria FogelPharmacy Director · (941) 766-1584
Enumeration DateJanuary 13, 2012
Last NPPES UpdateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
NPI 1396016945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in FL · PH17208
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

21297 OLEAN BLVD UNIT B, Port Charlotte, FL 33952

Other Names 1

Doing Business AsVirginia Andes Volunteer Community 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 10D1079581

Virginia B Andes Volunteer Community Clinic Inc · Port Charlotte, FL
Active · expires Jan 12, 2028
CLIA Number10D1079581
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorVance Wright-Browne
Laboratory Phone(941) 766-9570
Laboratory LocationVirginia B Andes Volunteer Community Clinic Inc21297 Olean Blvd, Port Charlotte, FL 33952
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
21297 OLEAN BLVD UNIT B
PORT CHARLOTTE, FL 33952

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 St Vincent Depaul Volunteer Community Pharmacy's NPI number?

The NPI number for St Vincent Depaul Volunteer Community Pharmacy is 1396016945. It was assigned to this organization in the NPPES registry on January 13, 2012. The provider is doing business as Virginia Andes Volunteer Community Pharmacy.

Where is St Vincent Depaul Volunteer Community Pharmacy located?

St Vincent Depaul Volunteer Community Pharmacy is located at 21297 Olean Blvd Unit B, Port Charlotte, FL 33952. The listed phone number is (941) 766-9570.

What is St Vincent Depaul Volunteer Community Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

Does St Vincent Depaul Volunteer Community Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1079581) is associated with this NPI, valid through January 12, 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 St Vincent Depaul Volunteer Community Pharmacy was last updated on October 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.