SUDLEY PHARMACY (NPI# 1427407527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427407527 |
| Entity Type | Organization |
| Organization Name | SUDLEY PHARMACY |
| Practice Address |
8609 Sudley Rd Manassas VA 20110-8321 |
| Mailing Address |
11713 Robert E Lee Dr Bristow VA 20136-1381 |
| Practice Telephone | 2026412221 |
| Mailing Telephone | 2026412221 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | DR. HUSSAM AL-ATAT (OWNER/PIC) |
| Authorized Official Telephone | 2026412221 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Street Address |
8609 SUDLEY RD |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467409961 | Abdullah Al Farooque | Internal Medicine | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-4500 | 2006-05-28 |
| 1144865999 | Eleny Tadese Gebre | Nurse Practitioner | 8609 Sudley Rd, Manassas, VA 20110-8321 | 2019-11-14 |
| 1790226942 | Cory Lucas | Nurse Practitioner | 8609 Sudley Rd, Ste 105, Manassas, VA 20110-8321 | 2017-03-20 |
| 1306292552 | Lisa Anne Cornelius | Social Worker | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2016-05-06 |
| 1982963328 | Phoenix Counseling Services | Counselor | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2012-05-04 |
| 1093006157 | Physiotherapy Associates Inc | Clinic/Center | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-8321 | 2011-04-25 |
| 1346495850 | Kevin C Mendes | Dentist | 8609 Sudley Rd, Suite #102, Manassas, VA 20110-8321 | 2008-11-25 |
| 1912065863 | Valley Health Clinic Inc | Specialist | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-4500 | 2006-12-04 |
| 1396827036 | Prince William Hospital | Home Health | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2006-10-20 |
| 1275549321 | Roselle Stark | Counselor | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2006-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881128544 | Amity Health Inc | Pharmacy | 8724 Sudley Rd, Manassas, VA 20110-4405 | 2017-04-19 |
| 1710380142 | Care 4 U Pharmacy | Pharmacy | 10458 Dumfries Rd, Manassas, VA 20110-7958 | 2014-09-30 |
| 1871921809 | Aka LLC | Pharmacy | 9830 Liberia Pharmacy, Manassas, VA 20110 | 2013-10-30 |
| 1689981482 | Harris Teeter, LLC | Pharmacy | 10060 Market Cir, Manassas, VA 20110-0000 | 2010-09-01 |
| 1407082043 | Walgreen Co | Pharmacy | 10671 Sudley Manor Dr, Manassas, VA 20109-2844 | 2009-06-10 |
| 1245340876 | Costco Wholesale Corporation | Pharmacy | 10701 Sudley Manor Dr, Manassas, VA 20109 | 2006-08-30 |
| 1407309099 | Adkoa Pharmacy LLC | Pharmacy | 8261 Shoppers Sq, Manassas, VA 20111-2176 | 2016-07-29 |
| 1972906212 | Prince William Hospital | Pharmacy | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2014-10-01 |
| 1538202981 | Vithalla, LLC | Pharmacy | 8573 Sudley Rd Ste B, Manassas, VA 20110-3809 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730788381 | Maysons Pharmacy At Retreat Inc | Pharmacy | 110 N Robinson St Ste 101, Richmond, VA 23220-4459 | 2020-10-23 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.