Active NPI
Sandra Lucile Painter, CPHT
- Pharmacy Technician
- Petersburg, VA
National Provider Identifier
1124303441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 0230019120
- Practice address
- 20 W Bank St
Suite 6
Petersburg, VA 23803-3279 - Phone
- (804) 862-8002
- Fax
- (804) 862-8023
- NPI assigned
- Oct 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0230019120 | VA | Primary |
Addresses
Primary practice location
20 W Bank St
Suite 6
Petersburg, VA 23803-3279
Mailing address
5008 Caldwell Ave
North Chesterfield, VA 23234-3910
Phone (804) 862-8002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0230019120 | Other | VA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0230019120 | VA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1124303441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 CALDWELL AVE",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232343910",
"telephone_number": "804-862-8002",
"fax_number": "804-862-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W BANK ST",
"address_2": "SUITE 6",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238033279",
"telephone_number": "804-862-8002",
"fax_number": "804-862-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINTER",
"first_name": "SANDRA",
"middle_name": "LUCILE",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-18",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "VA",
"license": "0230019120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0230019120",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.