NPIMap

Organization Active NPI

Sentara Hospitals

  • Community/Retail Pharmacy
  • Williamsburg, VA
National Provider Identifier
1083729024
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004757 Issued in VA
Legal business name
SENTARA HOSPITALS
Practice address
100 Sentara Cir
Williamsburg, VA 23188-5713
Phone
(757) 984-8100
Fax
(757) 984-8113
NPI assigned
Aug 20, 2006
Last updated
Dec 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SENTARA HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melinda Summerlin Hancock
Title
Cfo
Phone
(757) 455-7458

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 0201004757 VA Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

100 Sentara Cir
Williamsburg, VA 23188-5713

Mailing address

100 Sentara Cir
Williamsburg, VA 23188-5713
Phone (757) 984-8100

Other identifiers 2

IdentifierTypeStateIssuer
1083729024MedicaidVA
2105976OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050113000679 VA Part B Supplier - Clinic/Group Practice 3274424924 Receives reassigned benefits from 8 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Virginia Beach, VA; Suffolk, VA; Norfolk, VA; Hampton, VA; Chesapeake, VA
O20180710000518 VA Part B Supplier - Pharmacy 3274424924 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Williamsburg, VA; Suffolk, VA; Hampton, VA; Virginia Beach, VA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Port Warwick Medical Arts

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1083729024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SENTARA CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885713",
            "telephone_number": "757-984-8100",
            "fax_number": "757-984-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SENTARA CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885713",
            "telephone_number": "757-984-8100",
            "fax_number": "757-984-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENTARA HEALTHCARE",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "SUMMERLIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "757-455-7458"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004757",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083729024",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2105976",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.