SENTARA PRINCESS ANNE HOSPITAL (NPI# 1528167483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528167483 |
| Entity Type | Organization |
| Organization Name | SENTARA PRINCESS ANNE HOSPITAL |
| Practice Address |
2025 Glenn Mitchell Dr Virginia Beach VA 23456-0178 |
| Practice Telephone | 7575071115 |
| Practice Fax Number | 7577163935 |
| Mailing Telephone | 7575071115 |
| Mailing Fax Number | 7575070241 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | 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 |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004101 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2105983 | 01 | |
| VA | 4900570 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285080622 | Sentara Princess Anne Hospital | Clinic/Center | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2016-05-04 |
| 1528028396 | Sentara Princess Anne Hospital | General Acute Care Hospital | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2006-03-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Sentara Princess Anne Hospital | 6015 Poplar Hall Dr, Norfolk, Virginia 23502 |
| Street Address |
2025 GLENN MITCHELL DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-0178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730179532 | Linwood Ray Spruiell | Anesthesiology | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2005-10-24 |
| 1215551361 | Cortney Brook Jones | Anesthesiology | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-06-04 |
| 1912520164 | Kelly S Cook | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-05-22 |
| 1962021576 | Michael Leary | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-04-14 |
| 1649808403 | Ashlee Simmons | Radiologic Technologist | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-03-29 |
| 1063046548 | Tyler Adam Metzger | Physician Assistant | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2020-02-24 |
| 1962047084 | Ma Zaidelaine Arellano Llena | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2019-11-12 |
| 1053877274 | Melody Crystal Hanson | Occupational Therapist | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2019-02-12 |
| 1821568957 | Katrina Monique Brown | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2018-12-02 |
| 1740765395 | Daezel Aler Lacanlale | Nurse Practitioner | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 2018-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| 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 |
|---|---|---|---|---|
| 1952962581 | Ag Pharmacy, LLC | Pharmacy | 3322 Holland Rd Ste A, Virginia Beach, VA 23452-4826 | 2019-06-25 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1851714026 | Harris Teeter,llc | Pharmacy | 4540 Princess Anne Road, Virginia Beach, VA 23462 | 2014-01-24 |
| 1427365691 | North Beach Enterprises, Inc. | Pharmacy | 3198 Pacific Ave, Suite 124, Virginia Beach, VA 23451-2949 | 2010-09-08 |
| 1619154341 | Harris Teeter LLC | Pharmacy | 5060 Ferrell Parkway, Virginia Beach, VA 23464 | 2008-01-24 |
| 1043355423 | Excelscript Inc | Pharmacy | 3053 Shore Dr, Virginia Beach, VA 23451-1247 | 2007-02-21 |
| 1922193051 | Harris Teeter, LLC | Pharmacy | 2476 Nimmo Parkway, Virginia Beach, VA 23456 | 2006-10-04 |
| 1134212434 | Harris Teeter, LLC | Pharmacy | 2800 Artic Avenue, Virginia Beach, VA 23451 | 2006-10-02 |
| 1588768816 | Harris Teeter, LLC | Pharmacy | 3333 Virginia Bch Blvd. #101, Virginia Beach, VA 23452 | 2006-09-08 |
| 1700894649 | Creative Pharmacy Solutions East LLC | Pharmacy | 4001 Virginia Beach Blvd Ste 110, Virginia Beach, VA 23452-1759 | 2006-08-04 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
Please comment or provide details below to improve the information on SENTARA PRINCESS ANNE HOSPITAL.
| 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.