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SENTARA LIFE CARE CORPORATION NPI 1487644795


NPI Information

NPI: 1487644795
Provider Name: SENTARA LIFE CARE CORPORATION
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
800 INDEPENDENCE BLVD
SUITE 100
VIRGINIA BEACH, VA
ZIP 23455
Phone: (757) 252-0975
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SENTARA LIFE CARE CORPORATION is a long term care pharmacy pharmacy in Virginia Beach, VA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SENTARA LIFE CARE CORPORATION NPI is 1487644795. The provider is registered as an organization entity type.

The provider's business location address is:

800 INDEPENDENCE BLVD
SUITE 100
VIRGINIA BEACH, VA
ZIP 23455-005
Phone: (757) 252-0975
Fax: (757) 363-6104

The provider's authorized official is Maria Achilleos .
The authorized official title is Clinical Pharmacy Specialist and has the following contact phone number (757) 252-0988.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 3/30/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy0201003712VIRGINIAYes
23336L0003XPharmacyLong Term Care Pharmacy07702NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008519251MEDICAIDVIRGINIA
24437379OTHERAETNA PROVIDER#
34835813OTHERNABP
419199OTHEROPTIMA PROVIDER #
5245139OTHERANTHEM PROVIDER #
60497061MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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