NPIMap

Organization Active NPI

Uva Prince William Medical Center

  • Community/Retail Pharmacy
  • Manassas, VA
National Provider Identifier
1114865789
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UVA PRINCE WILLIAM MEDICAL CENTER
Practice address
8700 Sudley Rd
Manassas, VA 20110-4418
Phone
(703) 369-8000
NPI assigned
Mar 24, 2026
Organization subpart
Yes
Parent organization
UVA PRINCE WILLIAM MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Charles Donald Coder
Title
Cfo
Phone
(571) 284-1163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8700 Sudley Rd
Manassas, VA 20110-4418

Mailing address

PO Box 800750
Charlottesville, VA 22908-0750
Phone (434) 924-8344

Other names 1

  • UVA Health Pharmacy Prince William Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prince William Hosp-Emegrp5 organizations share this tax ID, including this one
Part of
Prince William Hosp-Emegrp

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1114865789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800750",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080750",
            "telephone_number": "434-924-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104418",
            "telephone_number": "703-369-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UVA PRINCE WILLIAM MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UVA PRINCE WILLIAM MEDICAL CENTER",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "CODER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "571-284-1163"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UVA Health Pharmacy Prince William Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.