Vithalla, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

VITHALLA, LLC

Doing business as

Manassas Pharmacy

Practice address

8573 Sudley Rd
Manassas, VA 20110-3808

Phone

(703) 361-1332

Fax

(703) 361-5476

NPI assigned

Nov 18, 2019

Last updated

Nov 18, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amit Shah

Title

Pic

Phone

(703) 200-2945

Specialties & licenses 1

Addresses

Other names 1

• MANASSAS PHARMACY Doing business as

Tax ID family

Manassas Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vithalla, LLC

  dba Manassas Pharmacy

  • Pharmacy
  • Manassas, VA
  • NPI 1538202981
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1053957787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8573 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103808",
            "telephone_number": "703-361-1332",
            "fax_number": "703-361-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8573 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103808",
            "telephone_number": "703-361-1332",
            "fax_number": "703-361-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITHALLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "703-200-2945"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANASSAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia Women's Health Associates, LTD (Manassas OB Gyn)
• Virtuous Home Healthcare, LLC
• Vision Hope & Healing LLC
• Vision Hope and Healing Angel Fund
• Visiting Health Services (Wadood Home Care)
• Vithalla, LLC (Manassas Pharmacy)
• Minh Nguyen Vo, M.D.
• Bruce Ira Vogel, DPM
• Jill Nerone Volles, M.S. CCC-SLP
• Anne Volmert, DPT, PT

• Long Term Care Pharmacy in Manassas, VA
• Providers in Manassas, VA by specialty
• Long Term Care Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.