Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc

Managed Care Organization Pharmacy · Alexandria, VA

NPI number 1871067207 Active

Practice location

3000 Potomac Ave
Alexandria, VA 22305-3084

Call (703) 721-6310 Map

Fax (703) 721-6320

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

Specialties and licenses

TaxonomyCodeLicense
Managed Care Organization Pharmacy Primary 3336M0003XNone 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.

8 other providers at this address

About NPI 1871067207

Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc's National Provider Identifier is 1871067207, issued on Jan 18, 2019. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Alexandria, VA. The record was last updated on Oct 10, 2025.