Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Managed Care Organization Pharmacy · Ashburn, VA

NPI number 1811031743 Active

Practice location

43480 Yukon Dr, Ste 100
Ashburn, VA 20147-6988

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

Specialties and licenses

TaxonomyCodeLicense
Managed Care Organization Pharmacy Primary 3336M0003X0201004121 (VA)

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.

17 other providers at this address

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About NPI 1811031743

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1811031743, issued on Feb 16, 2007. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Ashburn, VA. The record was last updated on Oct 10, 2025.