Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Home Infusion Therapy Pharmacy · Burke, VA

NPI number 1164597019 Active

Practice location

5999 Burke Commons Rd, 4th Floor
Burke, VA 22015-2880

Call (703) 249-7750 Map

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

Specialties and licenses

Taxonomy	Code	License
Home Infusion Therapy Pharmacy Primary	3336H0001X	None listed

Home Infusion Therapy Pharmacy: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusio…

63 other providers at this address

NPI record

NPI: 1164597019
Entity type: Organization (Type 2)
Issued: Nov 22, 2006
Last updated: Jul 24, 2025
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Other names

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Kaiser Permanente Burke Admixture Pharmacy · doing business as
Kaiser Permanente Burke Admixture Pharmacy · doing business as

Authorized official

Colleen Swinton
Director, Credentialing
(301) 257-2797

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164597019

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1164597019, issued on Nov 22, 2006. The primary taxonomy on file is Home Infusion Therapy Pharmacy (3336H0001X), and the practice location is in Burke, VA. The record was last updated on Jul 24, 2025.