MARTHA JEFFERSON HOSPITAL (NPI# 1437420213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437420213 |
| Entity Type | Organization |
| Organization Name | MARTHA JEFFERSON HOSPITAL |
| Other Organization Name | SENTARA MARTHA JEFFERSON OUTPATIENT PHARMACY |
| Practice Address |
500 Martha Jefferson Dr Charlottesville VA 22911-4668 |
| Mailing Address |
500 Martha Jefferson Dr Box G288 Charlottesville VA 22911-4668 |
| Practice Telephone | 4346543348 |
| Practice Fax Number | 4346543353 |
| Mailing Telephone | 4346543348 |
| Mailing Fax Number | 4346543353 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | J. MICHAEL BURRIS (VP, CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4346547305 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004441 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2133540 | 01 | |
| VA | 1437420213 | 05 |
| Other Name | Type Code |
|---|---|
| Sentara Martha Jefferson Outpatient Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248663 | Martha Jefferson Hospital | General Acute Care Hospital | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2005-07-11 |
| 1225452303 | Martha Jefferson Hospital | Clinic/Center | 595 Martha Jefferson Dr, Suite 290, Charlottesville, VA 22911-4669 | 2014-02-11 |
| 1912228628 | Martha Jefferson Hospital | Durable Medical Equipment & Medical Supplies | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2010-06-16 |
| 1942397153 | Martha Jefferson Hospital | Clinical Medical Laboratory | 595 Peter Jefferson Pkwy, 3rd Floor, Charlottesville, VA 22911 | 2006-10-07 |
| 1477571206 | Martha Jefferson Hospital | Internal Medicine | 500 Martha Jefferson Drive, Mb# G231, Charlottesville, VA 22911-4668 | 2006-07-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Martha Jefferson Hospital | Martha Jefferson Hospital, 500 Martha Jefferson Drive, Charlottesville, Virginia 22911 |
| Street Address |
500 MARTHA JEFFERSON DR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-4668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346248663 | Martha Jefferson Hospital | General Acute Care Hospital | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2005-07-11 |
| 1316548175 | Tiffany Kristen White | Pharmacist | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2020-11-06 |
| 1174094114 | Deveryn Bailey | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-12-17 |
| 1013496116 | Jennifer Graham Stancil | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-08-09 |
| 1609374313 | Stephanie Rowe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2018-01-28 |
| 1629585450 | Jennifer L Raymond | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2018-01-02 |
| 1033634845 | Melissa Volpe | Physician Assistant | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 | 2017-08-14 |
| 1376068973 | Laura R Trissel | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-08-04 |
| 1497277396 | Gina Gilmore | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-07-12 |
| 1013437854 | Alison Burkholder Heavenridge | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2017-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| 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] |
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|---|---|---|---|---|
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| 1356875504 | Top Notch Pharmacy, LLC | Pharmacy | 943 Preston Ave, Charlottesville, VA 22903-4421 | 2017-04-14 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1811329519 | Rector & Visitors of The University of Virginia | Pharmacy | 400 Emmet Street S, 4th Floor, Central Grounds Garage, Charlottesville, VA 22903-2481 | 2013-08-05 |
| 1386923761 | Harris Teeter, LLC | Pharmacy | 545 Radford Ln, Charlottesville, VA 22903-7465 | 2011-08-16 |
| 1447358049 | Virginia Cvs Pharmacy LLC | Pharmacy | 1170 Emmet St N, Charlottesville, VA 22903-4836 | 2006-09-20 |
| 1427152180 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 208 E Main St, Charlottesville, VA 22902-5232 | 2006-09-12 |
| 1124122890 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 1133 5th St Sw, Charlottesville, VA 22902-6464 | 2006-09-12 |
| 1003910779 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 3420 Seminole Trl, Charlottesville, VA 22911-8221 | 2006-09-12 |
| 1568566990 | Harris Teeter, LLC | Pharmacy | 159 Community Dr., Charlottesville, VA 22911 | 2006-09-07 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
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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.