Active NPI
Polaris Pharmacy Services of Virginia LLC
- Long Term Care Pharmacy
- Norfolk, VA
National Provider Identifier
1720784986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- POLARIS PHARMACY SERVICES OF VIRGINIA LLC
- Practice address
- 5375B Henneman Dr
Norfolk, VA 23513-2401 - Phone
- (757) 901-4100
- Fax
- (757) 731-3750
- NPI assigned
- Jan 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina Hunt
- Title
- Corporate Director of Compliance, C
- Phone
- (800) 589-9747
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
5375B Henneman Dr
Norfolk, VA 23513-2401
Mailing address
2900 NW 60TH St
Fort Lauderdale, FL 33309-1774
Phone (800) 589-9747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240122000104 | VA | Part B Supplier - Pharmacy | 9931551454 | Practice locations: Norfolk, VA |
| O20240906000047 | VA | DME Supplier - Pharmacy | 9931551454 | Practice locations: Norfolk, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Polaris Pharmacy Services of Virgin | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Missouri City, TX
- NPI 1538260492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771459200000",
"number": "1720784986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 NW 60TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091774",
"telephone_number": "800-589-9747",
"fax_number": "954-923-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5375B HENNEMAN DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235132401",
"telephone_number": "757-901-4100",
"fax_number": "757-731-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLARIS PHARMACY SERVICES OF VIRGINIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-31",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "CORPORATE DIRECTOR OF COMPLIANCE, C",
"authorized_official_telephone_number": "800-589-9747"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.