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NEW LIFE PHARMACY & MEDICAL SUPPLY
NPI 1659830487
Pharmacy - Community/Retail Pharmacy in Port Saint Lucie, FL

Active since March 19, 2019CLIA 10D2200233 · Waiver
11200 SW VILLAGE PKWY STE 100, PORT SAINT LUCIE, FL 34987(772) 877-1125(772) 800-5039 Get Directions Write a Review

NPPES record last updated: May 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2020, Aug 30, 2019, Jul 17, 2019 and 1 more (4 updates tracked since 2019).

About New Life Pharmacy & Medical Supply NPPES

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

NEW LIFE PHARMACY & MEDICAL SUPPLY (NPI 1659830487) is a healthcare organization registered as a community/retail pharmacy in Port Saint Lucie, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Ricardo Reid, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1659830487
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNEW LIFE PHARMACY & MEDICAL SUPPLY INC
Location Address11200 SW VILLAGE PKWY STE 100Port Saint Lucie, FL 34987-2383
Mailing Address11200 Sw Village Pkwy Ste 100Port Saint Lucie, FL 34987-2383 · (772) 877-1125 · Fax (772) 800-5039
Phone(772) 877-1125
Fax(772) 800-5039
Organization SubpartNo
Authorized OfficialRicardo ReidPharmacist/owner · (772) 877-1125
Enumeration DateMarch 19, 2019
Last NPPES UpdateMay 31, 20204 updates tracked since enumeration
NPPES CertifiedMay 31, 2020
✔ NPI 1659830487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X
11200 SW VILLAGE PKWY STE 100, Port Saint Lucie, FL 34987
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Other Names 1

Doing Business AsNew Life Pharmacy & Medical Supply

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 10D2200233

New Life Pharmacy & Medical Supply Inc · Port Saint Lucie, FL
Active · expires Nov 12, 2026
CLIA Number10D2200233
Laboratory TypePharmacy
Certificate Effective DateNovember 13, 2024
Certificate Expiration DateNovember 12, 2026
Laboratory DirectorRicardo C. Reid
Laboratory Phone(772) 877-1125
Laboratory LocationNew Life Pharmacy & Medical Supply Inc11200 SW Village Pkwy Ste 100, Port Saint Lucie, FL 34987
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
384 services373 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
378 services368 patients

Other Providers at the Same Location NPPES

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

NEW LIFE PHARMACY & MEDICAL SUPPLY INC
Pharmacy (Long Term Care Pharmacy)
11200 SW VILLAGE PKWY STE 100
PORT ST LUCIE, FL 34987
St. Lucie County (772) 877-1125

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 New Life Pharmacy & Medical Supply Inc's NPI number?

The NPI number for New Life Pharmacy & Medical Supply Inc is 1659830487. It was assigned to this organization in the NPPES registry on March 19, 2019. The provider is doing business as New Life Pharmacy & Medical Supply.

Where is New Life Pharmacy & Medical Supply Inc located?

New Life Pharmacy & Medical Supply Inc is located at 11200 SW Village Pkwy Ste 100, Port Saint Lucie, FL 34987. The listed phone number is (772) 877-1125.

What is New Life Pharmacy & Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does New Life Pharmacy & Medical Supply Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2200233) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does New Life Pharmacy & Medical Supply Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list New Life Pharmacy & Medical Supply Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for New Life Pharmacy & Medical Supply Inc was last updated on May 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.