Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc, NPI 1538429873
Managed Care Organization Pharmacy in Mc Lean, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1538429873
NPI Entity Type Organization
Provider Name Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Doing Business As
Subpart of Organization Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 8008 Westpark Dr, Mc Lean, VA, US
Provider Mailing Address 22370 Davis Dr, Suite 190, Sterling, VA, US, 201645366
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Mary Anne Jones
Official Position CHIEF FINANCIAL OFFICER
Phone 301-643-3215

Primary Taxonomy

Taxonomy Code

3336M0003X

Taxonomy Name Managed Care Organization Pharmacy
Classification

Pharmacy

Group

Suppliers

Description A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.

Other Organization Name

Kaiser Permanente Tysons Corner Infusion Pharmacy
Doing Business As

Business Address

Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
8008 Westpark Dr

Mc Lean, VA, US

Phone: 703-287-6585
Fax: 703-287-6584

Mailing Address

Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
22370 Davis Dr
Suite 190
Sterling, VA, US
ZIP 201645366
Phone: 703-466-4800
Fax: 703-466-4802

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

3336H0001X

Suppliers

Pharmacy

No

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
SOAP https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways Carequality HIE OTHER No 815 E Pratt St, Baltimore, MD, US

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