NPIMap

Organization Active NPI

Sentara Life Care Corporation

  • Long Term Care Pharmacy
  • Virginia Beach, VA
National Provider Identifier
1487644795
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0201003712 Issued in VA
Legal business name
SENTARA LIFE CARE CORPORATION
Practice address
800 Independence Blvd
Suite 100
Virginia Beach, VA 23455-6005
Phone
(757) 252-0975
Fax
(757) 363-6104
NPI assigned
Oct 27, 2005
Last updated
Mar 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Authorized official

Name
Dr. Maria Achilleos, PHARMDNPI 1841705480
Title
Clinical Pharmacy Specialist
Phone
(757) 252-0988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 0201003712 VA Primary
Long Term Care Pharmacy 3336L0003X 07702 NC

Addresses

Primary practice location

800 Independence Blvd
Suite 100
Virginia Beach, VA 23455-6005

Mailing address

800 Independence Blvd
Suite 100
Virginia Beach, VA 23455-6005
Phone (757) 252-0975

Other identifiers 6

IdentifierTypeStateIssuer
0497061MedicaidNC
245139OtherANTHEM PROVIDER #
4835813OtherNABP
008519251MedicaidVA
19199OtherOPTIMA PROVIDER #
4437379OtherAETNA PROVIDER#

National Provider Directory

National Provider Directory

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

600 Gresham Dr
Fl 1
Norfolk, VA 23507
Phone (757) 388-1576

800 Independence Blvd
Ste 100
Virginia Beach, VA 23455
Phone (757) 252-0975

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1487644795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 INDEPENDENCE BLVD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556005",
            "telephone_number": "757-252-0975",
            "fax_number": "757-363-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 INDEPENDENCE BLVD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556005",
            "telephone_number": "757-252-0975",
            "fax_number": "757-363-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTARA LIFE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "ACHILLEOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CLINICAL PHARMACY SPECIALIST",
        "authorized_official_telephone_number": "757-252-0988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "VA",
            "license": "0201003712",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NC",
            "license": "07702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497061",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "245139",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4835813",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008519251",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA PROVIDER #",
            "identifier": "19199",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER#",
            "identifier": "4437379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.