Bull Run Professional Pharmacy is an authorized DME supplier for medicare equipments and products.
Bull Run Professional Pharmacy is a Community/Retail Pharmacy in Manassas, Virginia. This pharmacy is owned and operated by Amity Health Inc. It is located at 9210 Church St Ste 100, Manassas and it's customer support contact number is 571-357-4818. The authorized person of Bull Run Professional Pharmacy is Vasumathi Vantikommu who is Pharmacy Owner/manager of the pharmacy and his contact number is 703-568-2835. Active license number of Bull Run Professional Pharmacy is 0201004763 for Community/Retail Pharmacy in Virginia. Bull Run Professional Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Bull Run Professional Pharmacy is 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.
Pharmacy Details:
Bull Run Professional Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Bull Run Professional Pharmacy
Type:
Community/Retail Pharmacy
Location:
9210 Church St Ste 100, Manassas, Virginia, 20110-5524
Phone:
571-357-4818
Fax:
703-782-9393
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Vasumathi Vantikommu
Position:
Pharmacy Owner/manager
Contact Number:
703-568-2835
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1881128544
NPI Enumeration Date:
19 Apr, 2017
NPI Last Update On:
08 Dec, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bull Run Professional Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
0201004763
Virginia
Primary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2017136935
Medicaid
Virginia
2168741
Other
Pk
Medicare Enrollment:
Bull Run Professional Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
7719250026
O20170908001299
Amity Health Inc
DME SUPPLIER - PHARMACY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
42469 Nickens Pl, Ashburn, Virginia
Zip:
20148-8064
Phone Number:
703-568-2835
Fax Number:
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Patients can reach Bull Run Professional Pharmacy at 9210 Church St Ste 100, Manassas, Virginia or can call on customer care at 571-357-4818.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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