Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Managed Care Organization Pharmacy · Lansdowne, VA

NPI number 1700951746 Active

Practice location

19450 Deerfield Avenue, Suite 300
Lansdowne, VA 20176-6821

Call (703) 726-2125 Map

Fax (703) 726-4553

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

Specialties and licenses

Taxonomy	Code	License
Managed Care Organization Pharmacy Primary	3336M0003X	None listed

Managed Care Organization Pharmacy: 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.

6 other providers at this address

NPI record

NPI: 1700951746
Entity type: Organization (Type 2)
Issued: Nov 22, 2006
Last updated: Jul 25, 2025
Status: Active

Other names

<unavail>
Loudon Medical Center Pharmacy · doing business as
Loudon Medical Center Pharmacy · doing business as

Authorized official

Mrs. Colleen E Swinton
Credentialing Director
(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 1700951746

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1700951746, issued on Nov 22, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Lansdowne, VA. The record was last updated on Jul 25, 2025.