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PROSPERITY PHARMACY MANASSAS
NPI 1801035548
Pharmacy - Community/Retail Pharmacy in Manassas, VA

Active since February 19, 2009CLIA 49D2183463 · Waiver
8644 SUDLEY RD, SUITE 120, MANASSAS, VA 20110(703) 334-5180(703) 334-5184 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2017, Apr 20, 2017 (2 updates tracked since 2017).

About Prosperity Pharmacy Manassas NPPES

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

PROSPERITY PHARMACY MANASSAS (NPI 1801035548) is a healthcare organization registered as a community/retail pharmacy in Manassas, Virginia and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Frank Odeh, President, as its authorized official.

NPPES Registry Identity

NPI1801035548
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROSPERITY PRINCE WILLIAM RX INC
Location Address8644 SUDLEY RD, SUITE 120Manassas, VA 20110-4417
Mailing Address8644 Sudley Rd, Suite 120Manassas, VA 20110-4417 · (703) 334-5180 · Fax (703) 334-5184
Phone(703) 334-5180
Fax(703) 334-5184
Organization SubpartNo
Authorized OfficialFrank OdehPresident · (571) 730-1130
Enumeration DateFebruary 19, 2009
Last NPPES UpdateApril 24, 20172 updates tracked since enumeration
✔ NPI 1801035548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in VA · 0201004275
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.
Also ListedPharmacyTaxonomy 333600000X
8644 SUDLEY RD, Manassas, VA 20110
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Other Names 1

Doing Business AsProsperity Pharmacy Manassas

Other Identifiers 2

Other2118235Pk
Medicaid1801035548VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 Waiver 49D2183463

Prosperity Pharmacy Manassas · Manassas, VA
Active · expires May 5, 2028
CLIA Number49D2183463
Laboratory TypePharmacy
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorVinod Patel
Laboratory Phone(703) 963-1643
Laboratory LocationProsperity Pharmacy Manassas8644 Sudley Rd, Manassas, VA 20110
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

OLD DOMINION ORTHOPAEDICS AND SPORTS MEDICINE, PC
Orthopaedic Surgery
8644 SUDLEY RD, STE 308
MANASSAS, VA 20110
Manassas City (703) 369-9070
SASSAN HASSASSIAN M.D.
Pain Medicine (Interventional Pain Medicine)
8644 SUDLEY RD, STE 117
MANASSAS, VA 20110
Manassas City (703) 738-4375
CHERYL BOSTON AU.D., FAAA
Audiologist
8644 SUDLEY RD, SUITE 114
MANASSAS, VA 20110
Manassas City (703) 330-3363
MRS. LLOUANA L HARPER NCC, LPC
Counselor (Professional)
8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110
Manassas City (703) 369-8055
MS. ANNA-MARIE E. HAMMOND P.T. , A.T.C.
Physical Therapist
8644 SUDLEY RD, SUITE 310
MANASSAS, VA 20110
Manassas City (571) 292-9910
UVA COMMUNITY HEALTH MEDICAL GROUP, LLC
Psychiatry & Neurology (Psychiatry)
8644 SUDLEY RD, SUITE 315
MANASSAS, VA 20110
Manassas City (703) 369-8055
DR. KEVIN EDWARD PELTIER I MD
Orthopaedic Surgery (Sports Medicine)
8644 SUDLEY RD, SUITE 308
MANASSAS, VA 20110
Manassas City (703) 369-9070
PRINCE WILLIAM AMBULATORY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
8644 SUDLEY RD, SUITE 201
MANASSAS, VA 20110
Manassas City (703) 369-8525

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 Prosperity Prince William Rx Inc's NPI number?

The NPI number for Prosperity Prince William Rx Inc is 1801035548. It was assigned to this organization in the NPPES registry on February 19, 2009. The provider is doing business as Prosperity Pharmacy Manassas.

Where is Prosperity Prince William Rx Inc located?

Prosperity Prince William Rx Inc is located at 8644 Sudley Rd Suite 120, Manassas, VA 20110. The listed phone number is (703) 334-5180.

What is Prosperity Prince William Rx Inc's specialty?

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

Does Prosperity Prince William Rx Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2183463) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Prosperity Prince William Rx Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Prosperity Prince William Rx Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prosperity Prince William Rx Inc was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.