NPIMap

Organization Active NPI

Florida Department of Veterans Affairs

Doing business as Baldomero Lopez State Veterans Nursing Home

  • Long Term Care Pharmacy
  • Land O' Lakes, FL
National Provider Identifier
1700914496
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH16499 Issued in FL
Legal business name
FLORIDA DEPARTMENT OF VETERANS AFFAIRS
Practice address
6919 Parkway Blvd
Land O Lakes, FL 34639-2909
Phone
(813) 558-5000
Fax
(813) 558-5018
NPI assigned
Mar 2, 2007
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy MirandaNPI 1720075344
Title
Pharmacy Manager
Phone
(813) 558-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PH16499 FL Primary

Addresses

Primary practice location

6919 Parkway Blvd
Land O Lakes, FL 34639-2909

Mailing address

6919 Parkway Blvd
Land O Lakes, FL 34639-2909
Phone (813) 558-5000

Other identifiers 2

IdentifierTypeStateIssuer
2012484OtherPK
021491400MedicaidFL

Other names 1

  • BALDOMERO LOPEZ STATE VETERANS NURSING HOME Other name

National Provider Directory

National Provider Directory
Tax ID family
Emory L Bennett VA Pharmacy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1700914496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 PARKWAY BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346392909",
            "telephone_number": "813-558-5000",
            "fax_number": "813-558-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 PARKWAY BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346392909",
            "telephone_number": "813-558-5000",
            "fax_number": "813-558-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "813-558-5000"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "FL",
            "license": "PH16499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2012484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021491400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BALDOMERO LOPEZ STATE VETERANS NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BALDOMERO LOPEZ STATE VETERANS NURSING HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.