Active NPI
Commonwealth of Virginia Southeastern Virginia Training Center Pharmac
- Pharmacist
- Chesapeake, VA
National Provider Identifier
1881692226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0201003416
- Legal business name
- COMMONWEALTH OF VIRGINIA SOUTHEASTERN VIRGINIA TRAINING CENTER PHARMAC
- Practice address
- 2100 Steppingstone SQ
Chesapeake, VA 23320-2517 - Phone
- (757) 424-8256
- Fax
- (757) 424-8310
- NPI assigned
- Jul 11, 2005
- 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
- Jennifer R. Dauer
- Title
- Director of Pharmacy
- Phone
- (757) 424-8526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0201003416 | VA | Primary |
Addresses
Primary practice location
2100 Steppingstone SQ
Chesapeake, VA 23320-2517
Mailing address
4601 Ironbound Rd
PO Box 8791
Williamsburg, VA 23188-2648
Phone (757) 253-4808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008502137 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Southeastern Virginia Training Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Chesapeake, VA
- NPI 1295834315
-
- Skilled Nursing Facility
- Chesapeake, VA
- NPI 1740109230
-
- Intellectual Disabilities Intermediate Care Facility
- Chesapeake, VA
- NPI 1770541161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1881692226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 IRONBOUND RD",
"address_2": "PO BOX 8791",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231882648",
"telephone_number": "757-253-4808",
"fax_number": "757-253-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STEPPINGSTONE SQ",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202517",
"telephone_number": "757-424-8256",
"fax_number": "757-424-8310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMONWEALTH OF VIRGINIA SOUTHEASTERN VIRGINIA TRAINING CENTER PHARMAC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-11",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "DAUER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "757-424-8526"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "VA",
"license": "0201003416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008502137",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
- Comfort N Your Home Care, LLC
- Comfortable Living Inc
- Comforting Friends Personal Care, Inc.
- Common Ground Therapy & Wellness PLLC
- Commonwealth Family Eye Care, PLC
- Commonwealth of Virginia-State Board of Health (Chesapeake Health Department)
- Commonwealth Plastic Surgery, P.C.
- Community Based Solutions LLC
- Community Birth Group
- Community Education Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.