340B Drug Pricing Program Database


RRC490046-08 SENTARA LEIGH HOSPITAL (Active) - information as of 5/13/2025 1:39:51 AM

Main Details
SENTARA LEIGH HOSPITAL
Cardiology Specialists Leigh - Cardiology
Rural Referral Center
Yes
RRC490046-08
490046


Additional Details
Active
10/8/2024
1/1/2025
10/31/2024

Contacts

Sentara Leigh Hospital
Tim O'Brien, Vice President
(757) 261-8610

Sentara Leigh Hospital
Nicole Lazar, Pharmacy Manager - Primary Contact
(757) 261-8037

Addresses

844 Kempsville Road
Suite 204
Norfolk, VA 23502

Sentara Leigh Hospital
1300 Sentara Park
Virginia Beach, VA 23464


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
VA 1811957681,1821403791
NC 1811957681,1821403791
Shipping Addresses

Same as Street Address
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
RRC490046-01ChildRRCSENTARA LEIGH HOSPITALSentara Endocrinology Specialists - - Kempsville850 Kempsville RoadNorfolkVAActive
RRC490046-02ChildRRCSENTARA LEIGH HOSPITALSentara Pulmonary, Critical Care & Sleep Specialists - - Kempsville844 Kempsville RoadNorfolkVAActive
RRC490046-03ChildRRCSENTARA LEIGH HOSPITALSentara Hospitals DBA Sentara Cancer Center - - PET/CT Suite 1006251 E. Virginia Beach BlvdNorfolkVAActive
RRC490046-04ChildRRCSENTARA LEIGH HOSPITALAmbulatory Surgery Center - (ASC)838 Kempsville RoadNorfolkVAActive
RRC490046-05ChildRRCSENTARA LEIGH HOSPITALNoninvasive Echo - 2844 Kempsville RoadNorfolkVAActive
RRC490046-06ChildRRCSENTARA LEIGH HOSPITALCardiology PVL - Cardiology844 Kempsville RoadNorfolkVAActive
RRC490046-07ChildRRCSENTARA LEIGH HOSPITALNuclear Medicine - Cardiology844 Kempsville RoadNorfolkVAActive
RRC490046-08ChildRRCSENTARA LEIGH HOSPITALCardiology Specialists Leigh - Cardiology844 Kempsville RoadNorfolkVAActive
RRC490046-09ChildRRCSENTARA LEIGH HOSPITALWalk-in Care Kempsville - Urgent Care850 Kempsville RoadNorfolkVAActive
RRC490046-10ChildRRCSENTARA LEIGH HOSPITALCardiology Specialists Chesapeake - Cardiology713 Volvo ParkwayChesapeakeVAActive
RRC490046-11ChildRRCSENTARA LEIGH HOSPITALInternal Medicine Kempsville - Urgent Care850 Kempsville RoadNorfolkVAActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsAuthorizing OfficialUpdateChange RequestInman, Joanne Marie President Sentara Leigh Hospital 7572618300O'Brien, Tim Vice President Sentara Leigh Hospital 75726186103/18/2025 12:46 PM
DetailsStateUpdate ApprovedActive1/1/2025 12:01 AM
ContactsSigned ByInsertNew Registration Inman, Joanne Marie President Sentara Leigh Hospital 757261830010/31/2024 8:51 AM
Details340B IDUpdateNew Registration RRC490046-0810/31/2024 8:51 AM
DetailsEntity SubnameUpdateNew RegistrationCardiology Specialists LeighCardiology Specialists Leigh - Cardiology10/31/2024 8:51 AM
DatesParticipating Approval DateUpdateNew Registration 10/31/2024 8:51:00 AM10/31/2024 8:51 AM
DetailsStateUpdateNew RegistrationPendingApproved10/31/2024 8:51 AM
DatesSigned By DateUpdateNew Registration 10/29/2024 2:47:27 PM10/31/2024 8:51 AM
DatesStart DateUpdateNew Registration 1/1/2025 12:00:00 AM10/31/2024 8:51 AM
AddressesMain AddressInsertNew Registration  844 Kempsville Road Suite 204 Norfolk, VA 2350210/8/2024 12:12 PM
AddressesBilling AddressInsertNew Registration Sentara Leigh Hospital 1300 Sentara Park Virginia Beach, VA 2346410/8/2024 12:12 PM
Medicaid BillingNPI: NumberInsertNew Registration 181195768110/8/2024 12:12 PM
Medicaid BillingNPI: StateInsertNew Registration VA10/8/2024 12:12 PM
Medicaid BillingNPI: NumberInsertNew Registration 182140379110/8/2024 12:12 PM
Medicaid BillingNPI: StateInsertNew Registration VA10/8/2024 12:12 PM
Medicaid BillingNPI: NumberInsertNew Registration 181195768110/8/2024 12:12 PM
Medicaid BillingNPI: StateInsertNew Registration NC10/8/2024 12:12 PM
Medicaid BillingNPI: NumberInsertNew Registration 182140379110/8/2024 12:12 PM
Medicaid BillingNPI: StateInsertNew Registration NC10/8/2024 12:12 PM
ContactsPrimary ContactInsertNew Registration Lazar, Nicole Pharmacy Manager - Primary Contact Sentara Leigh Hospital 757261803710/8/2024 12:12 PM
ContactsAuthorizing OfficialInsertNew Registration Inman, Joanne Marie President Sentara Leigh Hospital 757261830010/8/2024 12:12 PM
DetailsAssistance Received From DateInsertNew Registration  10/8/2024 12:12 PM
DetailsAssistance Received To DateInsertNew Registration  10/8/2024 12:12 PM
DetailsLast Recertification DateInsertNew Registration  10/8/2024 12:12 PM
DetailsGrant NumberInsertNew Registration  10/8/2024 12:12 PM
Details340B IDInsertNew Registration  10/8/2024 12:12 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/8/2024 12:12 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/8/2024 12:12 PM
DetailsMedicare Provider NumberInsertNew Registration 49004610/8/2024 12:12 PM
DetailsEntity NameInsertNew Registration SENTARA LEIGH HOSPITAL10/8/2024 12:12 PM
DetailsNOFO NumberInsertNew Registration  10/8/2024 12:12 PM
DetailsProgram CodeInsertNew Registration RRC10/8/2024 12:12 PM
DetailsEntity SubnameInsertNew Registration Cardiology Specialists Leigh10/8/2024 12:12 PM
DatesParticipating Approval DateInsertNew Registration  10/8/2024 12:12 PM
DetailsStateInsertNew Registration Pending10/8/2024 12:12 PM
DatesRegistration DateInsertNew Registration 10/8/2024 12:12:13 PM10/8/2024 12:12 PM
DatesSigned By DateInsertNew Registration  10/8/2024 12:12 PM
DatesStart DateInsertNew Registration  10/8/2024 12:12 PM
TerminationsTermination CommentsInsertNew Registration  10/8/2024 12:12 PM
TerminationsTermination DateInsertNew Registration  10/8/2024 12:12 PM
TerminationsTermination Effective DateInsertNew Registration  10/8/2024 12:12 PM
TerminationsTermination ReasonInsertNew Registration  10/8/2024 12:12 PM