Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amity Health Inc

Organization Community/Retail Pharmacy · NPI 1881128544

Amity Health Inc is a Community/Retail Pharmacy in Manassas, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9210 Church St Ste 100
Manassas, VA 20110-5524
Phone: (571) 357-4818
Fax: (703) 782-9393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 0201004763 (VA)
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1881128544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vasumathi Vantikommu — Pharmacy Owner/Manager · (703) 568-2835
Other names Bull Run Professional Pharmacy; Bull Run Professional Pharmacy
NPI enumeratedApril 19, 2017
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021
Mailing address42469 Nickens Pl, Ashburn, VA 20148-8064

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