Organization Active NPI

Starfish Pharmacy LLC

  • Community/Retail Pharmacy
  • Virginia Beach, VA
National Provider Identifier
1194348797
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
STARFISH PHARMACY LLC
Practice address
3100 Shore Dr
Virginia Beach, VA 23451-1199
Phone
(757) 524-4380
Fax
(888) 851-0736
NPI assigned
May 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Tanya Laubscher
Title
Owner
Phone
(757) 524-4380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3100 Shore Dr
Virginia Beach, VA 23451-1199

Mailing address

3100 Shore Dr
Virginia Beach, VA 23451-1199
Phone (757) 524-4380

Other identifiers 1

IdentifierTypeStateIssuer
1194348797MedicaidVA

Other names 1

  • STARFISH PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210818003501 VA Part B Supplier - Pharmacy 6406251131 Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1194348797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511199",
            "telephone_number": "757-524-4380",
            "fax_number": "888-851-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511199",
            "telephone_number": "757-524-4380",
            "fax_number": "888-851-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARFISH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "LAUBSCHER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-524-4380"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194348797",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STARFISH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.