SENTARA LIFE CARE CORPORATION (NPI# 1487644795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487644795 |
| Entity Type | Organization |
| Organization Name | SENTARA LIFE CARE CORPORATION |
| Practice Address |
800 Independence Blvd Suite 100 Virginia Beach VA 23455-6005 |
| Practice Telephone | 7572520975 |
| Practice Fax Number | 7573636104 |
| Mailing Telephone | 7572520975 |
| Mailing Fax Number | 7573636104 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | DR. MARIA ACHILLEOS (CLINICAL PHARMACY SPECIALIST) |
| Authorized Official Telephone | 7572520988 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
07702 | NC | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
0201003712 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM PROVIDER # | 245139 | 01 | |
| VA | 008519251 | 05 | |
| OPTIMA PROVIDER # | 19199 | 01 | |
| NABP | 4835813 | 01 | |
| AETNA PROVIDER# | 4437379 | 01 | |
| NC | 0497061 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528059748 | Sentara Life Care Corporation | Assisted Living Facility | 251 S Newtown Rd, Norfolk, VA 23502-5718 | 2005-11-04 |
| 1346231560 | Sentara Life Care Corporation | Assisted Living Facility | 3751 Sentara Way, Virginia Beach, VA 23452-4200 | 2005-11-04 |
| 1619968112 | Sentara Life Care Corporation | Custodial Care Facility | 665 Newtown Rd, Virginia Beach, VA 23462-1683 | 2005-11-03 |
| 1528059029 | Sentara Life Care Corporation | Skilled Nursing Facility | 2230 Executive Dr, Hampton, VA 23666-2430 | 2005-11-03 |
| 1720079585 | Sentara Life Care Corporation | Skilled Nursing Facility | 3750 Sentara Way, Virginia Beach, VA 23452-4200 | 2005-11-02 |
| 1215928783 | Sentara Life Care Corporation | Assisted Living Facility | 778 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2005-11-02 |
| 1104817964 | Sentara Life Care Corporation | Skilled Nursing Facility | 3907 Caratoke Hwy, Barco, NC 27917-9500 | 2005-11-02 |
| 1093706863 | Sentara Life Care Corporation | Nursing Facility/Intermediate Care Facility | 1604 Old Donation Pkwy, Virginia Beach, VA 23454-3063 | 2005-11-02 |
| 1093706806 | Sentara Life Care Corporation | Skilled Nursing Facility | 249 S Newtown Rd, Norfolk, VA 23502-5718 | 2005-11-01 |
| 1376534180 | Sentara Life Care Corporation | Skilled Nursing Facility | 776 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2005-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Sentara Life Care Corporation | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 |
| Virginia Business Entities | Sentara Life Care Corporation | 251 S Newtown Rd, Norfolk, Virginia 23502 |
| Street Address |
800 INDEPENDENCE BLVD SUITE 100 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23455-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497248892 | Sapa Truong | Physician Assistant | 800 Independence Blvd, Virginia Beach, VA 23455-6011 | 2018-06-11 |
| 1770099616 | Marquel Saunders Price | Pharmacist | 800 Independence Blvd, Virginia Beach, VA 23455-6011 | 2017-12-14 |
| 1598292211 | Emily Bosch | Nurse Practitioner | 800 Independence Blvd, Virginia Beach, VA 23455-6011 | 2017-05-12 |
| 1538303185 | Sentara Medical Group | Urology | 800 Independence Blvd, Virginia Beach, VA 23455-6005 | 2009-04-27 |
| 1447306337 | Deborah Ward Squibb | Pharmacist | 800 Independence Blvd, Virginia Beach, VA 23455-6005 | 2007-01-25 |
| 1932202306 | Leonid Stepanov | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455 | 2006-09-07 |
| 1699711515 | James S Oleksa | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455 | 2006-06-20 |
| 1972558674 | Robert E Houston | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455-6005 | 2006-05-23 |
| 1811942428 | Matthew P Chow | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455 | 2006-05-23 |
| 1326013467 | Guy D Whitaker IIi | Anesthesiology | 800 Independence Blvd, Virginia Beach, VA 23455 | 2006-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1942728571 | Delois L Dillard | Occupational Therapy Assistant | 4225 Shore Drive, Virginia Beach, VA 23455 | 2017-09-04 |
| 1295255404 | Unobs Medical Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5812 Tajo Avenue, Virginia Beach, VA 23455 | 2017-06-20 |
| 1831640812 | Wearefit | Dietitian, Registered | 4752 Hollis Road, Virginia Beach, VA 23455 | 2016-10-14 |
| 1629496633 | Jamie Lauren Dermatis | Podiatrist | 1700 Pleasure Road, #101, Virginia Beach, VA 23455 | 2014-04-07 |
| 1619304664 | Syed A Absar | Pharmacist | 4828 Lake Bradford Lane, Virginia Beach, VA 23455 | 2013-10-07 |
| 1851734958 | Cara K Richardson | Occupational Therapist | 2364 Madison Ave., Virginia Beach, VA 23455 | 2013-04-09 |
| 1811249287 | Chl & Associates | Nurse Practitioner | 1367 Sir Richard Rd, Virginia Beach, VA 23455 | 2012-10-10 |
| 1588915425 | Edward S Wilson | Physician Assistant | 604 Bishop Dr, Virginia Beach, VA 23455 | 2012-10-01 |
| 1073886842 | April Gilbrech | Registered Nurse | 1103 Canopy Ct, Virginia Beach, VA 23455 | 2012-02-09 |
| Find all providers in zip 23455 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1053817007 | Janus Rx LLC | Pharmacy | 2697 International Pkwy Bldg 3, Virginia Beach, VA 23452-7803 | 2018-03-30 |
| 1780795740 | Pharmerica East LLC | Pharmacy | 247 Expressway Ct, Virginia Beach, VA 23462 | 2006-08-31 |
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|---|---|---|---|---|
| 1053957787 | Vithalla, LLC | Pharmacy | 8573 Sudley Rd, Manassas, VA 20110-3808 | 2019-11-18 |
| 1730738170 | Hope Pharmacy, Inc. | Pharmacy | 1330 N 25th St, Richmond, VA 23223-5243 | 2019-09-09 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1346770856 | Claypool Hill Pharmacy | Pharmacy | 12252 Governor G C Peery Hwy, Pounding Mill, VA 24637-4272 | 2017-06-18 |
| 1841738895 | Martinsville Pharmacy Inc | Pharmacy | 1049 Brookdale St Ste A, Martinsville, VA 24112-3972 | 2017-02-09 |
| 1457898892 | Valley Pharmacies, Inc. | Pharmacy | 6701 Peters Creek Rd Ste 109, Roanoke, VA 24019-4060 | 2017-01-24 |
| 1679929145 | Central Virginia Pharmacy Consultants PC | Pharmacy | 20276 Timberlake Rd, Lynchburg, VA 24502-7214 | 2016-05-13 |
| 1134587181 | Pharmacy Corporation of America | Pharmacy | 4423 Pheasant Ridge Rd, Suite 205, Roanoke, VA 24014-5299 | 2016-02-05 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1376825547 | Legacy Consultant Pharmacy | Pharmacy | 7505 Right Flank Rd Ste 710, Mechanicsville, VA 23116-3865 | 2011-09-14 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
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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.