SENTARA HOSPITALS (NPI# 1396275418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396275418 |
| Entity Type | Organization |
| Organization Name | SENTARA HOSPITALS |
| Other Organization Name | SENTARA TO HOME CASE MANAGEMENT |
| Practice Address |
600 Gresham Drive Retail Pharmacy Norfolk VA 23507 |
| Mailing Address |
6015 Poplar Hall Dr Ste 200 Norfolk VA 23502-3819 |
| Practice Telephone | 7573881204 |
| Practice Fax Number | 7573881202 |
| Mailing Telephone | 7574557102 |
| Mailing Fax Number | 7574557919 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | MR. ROBERT A BROERMANN (SVP/CFO) |
| Authorized Official Telephone | 7574557020 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENTARA HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8502714 | 05 |
| Other Name | Type Code |
|---|---|
| Sentara To Home Case Management | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540138 | Sentara Hospitals | General Acute Care Hospital | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2005-07-07 |
| 1891287504 | Sentara Hospitals | Early Intervention Provider Agency | 818 Newtown Rd, Virginia Beach, VA 23462-1116 | 2018-05-30 |
| 1821403791 | Sentara Hospitals | Pharmacy | 830 Kempsville Rd, Norfolk, VA 23502-3920 | 2014-06-30 |
| 1225370448 | Sentara Hospitals | Psychiatric Unit | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2013-03-26 |
| 1689916884 | Sentara Hospitals | Skilled Nursing Facility | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2013-03-26 |
| 1467690891 | Sentara Hospitals | Rehabilitation Unit | 100 Sentara Cir, Williamsburg, VA 23188-5713 | 2009-01-22 |
| 1467699199 | Sentara Hospitals | Rehabilitation Unit | 1060 First Colonial Rd, Virginia Beach, VA 23454-3002 | 2009-01-16 |
| 1467589234 | Sentara Hospitals | Pharmacy | 3000 Coliseum Dr, Hampton, VA 23666-5963 | 2007-02-27 |
| 1053475004 | Sentara Hospitals | Psychiatric Unit | 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 2006-12-21 |
| 1235205147 | Sentara Hospitals | Ambulance | 600 Gresham Dr, Norfolk, VA 23507 | 2006-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Sentara Hospitals | 6015 Poplar Hall Drive, Norfork, Virginia 23502 |
| North Carolina Corporations | Sentara Hospitals-Norfolk | 2 South Salisbury Street, Raleigh, NC 27601 |
| Virginia Business Entities | SENTARA HOSPITALS-NORFOLK | 6015 Poplar Hall Dr Suite 300, Norfolk, Virginia 23502 |
| Street Address |
600 GRESHAM DRIVE RETAIL PHARMACY |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871594150 | David Alan Baran | Internal Medicine | 600 Gresham Drive, Norfolk, VA 23507 | 2005-08-09 |
| 1437788064 | Michael Gerard Hudson | Student in an Organized Health Care Education/Training Program | 600 Gresham Drive, Raleigh Building, Room 304, Norfolk, VA 23507 | 2020-04-06 |
| 1770044687 | Gabrielle Leigh Ransford | Student in an Organized Health Care Education/Training Program | 600 Gresham Drive, Raleigh Building, Room 304, Norfolk, VA 23507 | 2019-03-26 |
| 1306343777 | Julie Tondt | Student in an Organized Health Care Education/Training Program | 600 Gresham Drive, Raleigh Building, Suite 304, Norfolk, VA 23507 | 2018-04-11 |
| 1750888376 | Shane Leslie Leighton | Student in an Organized Health Care Education/Training Program | 600 Gresham Drive, Raleigh Building, Suite 304, Norfolk, VA 23507 | 2018-04-10 |
| 1639673536 | Glen Charles Hookey | Student in an Organized Health Care Education/Training Program | 600 Gresham Drive, Raleigh Building, Suite 304, Norfolk, VA 23507 | 2018-03-23 |
| 1497259659 | Lucie Regina Ford | Student in an Organized Health Care Education/Training Program | 600 Gresham Drive, Raleigh Building Suite 304, Norfolk, VA 23507 | 2018-03-22 |
| 1518461615 | Lauren Miley Gallion | Student in an Organized Health Care Education/Training Program | 600 Gresham Drive, Raleigh Building, Suite 304, Norfolk, VA 23507 | 2018-03-22 |
| 1679005219 | Sina Vahedi | Student in an Organized Health Care Education/Training Program | 600 Gresham Drive, Lions Sight Center, Norfolk, VA 23507-1904 | 2017-04-02 |
| 1134505068 | Sarah Kennedy | Registered Nurse | 600 Gresham Drive, Norfolk, VA 23517 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1487959342 | Harris Teeter, LLC | Pharmacy | 1320 Colonial Avenue, Norfolk, VA 23517 | 2011-01-24 |
| 1821233040 | Wal-mart Stores East Lp | Pharmacy | 1720 E Little Creek Rd, Norfolk, VA 23518-4202 | 2008-12-03 |
| 1073623609 | Costco Wholesale Corporation | Pharmacy | 850 Glenrock Rd, Norfolk, VA 23502 | 2006-08-30 |
| 1639184682 | Walgreen Co | Pharmacy | 810 W 21st St, Norfolk, VA 23517-1514 | 2006-07-29 |
| 1093720047 | Walgreen Co | Pharmacy | 8609 Tidewater Dr, Norfolk, VA 23503-5415 | 2006-07-29 |
| 1720093776 | Walgreen Co | Pharmacy | 1169 N Military Hwy, Norfolk, VA 23502-2434 | 2006-07-29 |
| 1912912965 | Walgreen Co | Pharmacy | 115 W Little Creek Rd, Norfolk, VA 23505-2512 | 2006-07-29 |
| 1568477511 | Walgreen Co | Pharmacy | 2232 E Little Creek Rd, Norfolk, VA 23518-4221 | 2006-07-29 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.