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UVA PRINCE WILLIAM MEDICAL CENTER
NPI 1114865789
Pharmacy - Community/Retail Pharmacy in Manassas, VA

Active since March 24, 2026CLIA Certified · 3 labs
8700 SUDLEY RD, MANASSAS, VA 20110(703) 369-8000 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Uva Prince William Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UVA PRINCE WILLIAM MEDICAL CENTER (NPI 1114865789), doing business as Uva Health Pharmacy Prince William Medical Center, is a healthcare organization registered as a community/retail pharmacy in Manassas, Virginia and active in the NPI registry since March 2026. The organization holds 3 active CLIA laboratory certificates and lists Charles Donald Coder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114865789
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameUVA PRINCE WILLIAM MEDICAL CENTER
Location Address8700 SUDLEY RDManassas, VA 20110-4418
Mailing AddressPo Box 800750Charlottesville, VA 22908-0750 · (434) 924-8344
Phone(703) 369-8000
Organization SubpartYes
Authorized OfficialCharles Donald CoderCfo · (571) 284-1163
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 20, 2026
✔ NPI 1114865789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
8700 SUDLEY RD, Manassas, VA 20110
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Other Names 1

Doing Business AsUva Health Pharmacy Prince William Medical Center

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 49D0223064

Uva Prince William Medical Center Dba Uva Health Prince William Medical Center · Manassas, VA
Active · expires Feb 27, 2027
CLIA Number49D0223064
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Nicholas Larkey
Laboratory Phone(703) 369-8759
Laboratory LocationUva Prince William Medical Center Dba Uva Health Prince William Medical Center8700 Sudley Road Laboratory 1st Floor, Manassas, VA 20110
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 49D2221882

Uva Prince William Medical Center Cardiac Rehabilitation · Manassas, VA
Active · expires Feb 25, 2028
CLIA Number49D2221882
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorAra Maranian
Laboratory Phone(703) 369-5959
Laboratory LocationUva Prince William Medical Center Cardiac Rehabilitation8640 Sudley Rd Suite 104, Manassas, VA 20110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2087289

Uva Prince William Medical Center Dba Uva Health Wound Care · Manassas, VA
Active · expires Nov 19, 2026
CLIA Number49D2087289
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorAmir Ghaznavi
Laboratory Phone(703) 396-5222
Laboratory LocationUva Prince William Medical Center Dba Uva Health Wound Care8644 Sudley Road, Suite 115, Manassas, VA 20110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN BRIEN CAMPBELL ANP
Nurse Practitioner
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 396-5292
SHARON AVILES
Behavior Analyst
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8000
DR. LIISA L LAAKSO DO
Radiology (Diagnostic Radiology)
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8073
THOMAS JOHN LUCKEY M.D.
Emergency Medicine
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8337
JENNIFER KASIRSKY MD
Obstetrics & Gynecology
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8000
DR. LEE ERIC LORICO MD
Anesthesiology
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 392-6199
ERIC JOHN AHLERS M.D.
Emergency Medicine
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 369-8000
CHRISTIEN BYUN NP
Nurse Practitioner (Acute Care)
8700 SUDLEY RD
MANASSAS, VA 20110
Manassas City (703) 396-5292

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Uva Prince William Medical Center's NPI number?

The NPI number for Uva Prince William Medical Center is 1114865789. It was assigned to this organization in the NPPES registry on March 24, 2026. The provider is doing business as UVA Health Pharmacy Prince William Medical Center.

Where is Uva Prince William Medical Center located?

Uva Prince William Medical Center is located at 8700 Sudley Rd, Manassas, VA 20110. The listed phone number is (703) 369-8000.

What is Uva Prince William Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Uva Prince William Medical Center hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Uva Prince William Medical Center was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.