PROSPERITY PRINCE WILLIAM RX INC (NPI# 1801035548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801035548 |
| Entity Type | Organization |
| Organization Name | PROSPERITY PRINCE WILLIAM RX INC |
| Other Organization Name | PROSPERITY PHARMACY MANASSAS |
| Practice Address |
8644 Sudley Rd Suite 120 Manassas VA 20110-4417 |
| Practice Telephone | 7033345180 |
| Practice Fax Number | 7033345184 |
| Mailing Telephone | 7033345180 |
| Mailing Fax Number | 7033345184 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | FRANK ODEH (PRESIDENT) |
| Authorized Official Telephone | 5717301130 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201004275 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2118235 | 01 | |
| VA | 1801035548 | 05 |
| Other Name | Type Code |
|---|---|
| Prosperity Pharmacy Manassas | Doing Business As Name - Organization |
| Street Address |
8644 SUDLEY RD SUITE 120 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719536 | Sassan Hassassian | Anesthesiology | 8644 Sudley Rd, Ste 117, Manassas, VA 20110-4417 | 2005-06-13 |
| 1861906661 | Robbie Lynnel Neal | Nurse Practitioner | 8644 Sudley Rd, Manassas, VA 20110 | 2017-12-01 |
| 1386053502 | Nmg Affiliate Practice I LLC | Psychiatry & Neurology | 8644 Sudley Rd, Suite 315, Manassas, VA 20110-4417 | 2014-08-13 |
| 1568720225 | Physical Medicine Associates, Ltd | Physical Medicine & Rehabilitation | 8644 Sudley Rd, Suite 117, Manassas, VA 20110-4417 | 2012-05-01 |
| 1649583717 | Nadia M Ghieth | Physical Therapist | 8644 Sudley Rd, Suite 308, Manassas, VA 20110-4417 | 2010-07-19 |
| 1144466798 | Anna-marie E. Hammond | Physical Therapist | 8644 Sudley Rd, Suite 310, Manassas, VA 20110-4417 | 2009-01-05 |
| 1619127982 | Vinod B Patel | Pharmacist | 8644 Sudley Rd, Suite 120, Manassas, VA 20110-4417 | 2008-09-23 |
| 1457513848 | Uyenphuong Ho Le | Internal Medicine | 8644 Sudley Rd, Suite 118, Manassas, VA 20110-4417 | 2008-06-27 |
| 1316151632 | Nicole Dirienzo | Psychiatry & Neurology | 8644 Sudley Rd, Suite 315, Manassas, VA 20110-4417 | 2007-05-09 |
| 1104044551 | Cheryl Boston | Audiologist | 8644 Sudley Rd, Suite 114, Manassas, VA 20110-4417 | 2007-04-23 |
| Find all providers in the same location | ||||
| 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 |
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| 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.