Active NPI
Greater Prince William Area Community Health Center Inc
- Community/Retail Pharmacy
- Woodbridge, VA
National Provider Identifier
1770404162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC
- Practice address
- 3350 Commission CT
Woodbridge, VA 22192-1784 - Phone
- (703) 680-7950
- NPI assigned
- Jul 22, 2026
- Organization subpart
- Yes
- Parent organization
- GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Otis Harris
- Title
- Ceo
- Phone
- (661) 381-0458
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3350 Commission CT
Woodbridge, VA 22192-1784
Mailing address
3350 Commission CT
Woodbridge, VA 22192-1784
Phone (703) 680-7950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201005209 | Other | VA | STATE PHARMACY LICENSE |
Other names 1
- Lunera Pharmacy Woodbridge
National Provider Directory
National Provider Directory- Tax ID family
- Greater Prince William Area
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Manassas, VA
- NPI 1548137870
-
- Federally Qualified Health Center (FQHC)
- Dumfries, VA
- NPI 1568838738
-
- Federally Qualified Health Center (FQHC)
- Manassas, VA
- NPI 1750263422
-
- Federally Qualified Health Center (FQHC)
- Woodbridge, VA
- NPI 1942527874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784678400000",
"number": "1770404162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 COMMISSION CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221921784",
"telephone_number": "703-680-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 COMMISSION CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221921784",
"telephone_number": "703-680-7950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GREATER PRINCE WILLIAM AREA COMMUNITY HEALTH CENTER INC",
"enumeration_date": "2026-07-22",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "OTIS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "661-381-0458"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "0201005209",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lunera Pharmacy Woodbridge",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbridge, VA
- Misti S Gray, WHNP
- Marjorie Graziano, CRNP
- Great Hands Care LLC
- Greater Metropolitan Orthopaedic Institute
- Greater Prince William Area Community Health Center Inc
- Greater Prince William Area Community Heatlh Center
- Greater Washington Arthritis Rheumatology & Octeoporosis Ctr
- Green Acres Plumbing, LLC
- Green Health Integrative & Wellness Pharmacy
- Green Home Care Agency, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.