Organization · Type 2 NPI

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

Managed Care Organization Pharmacy · Burke, VA

NPI number 1881760767 Active

Practice location

5999 Burke Commons Road
Burke, VA 22015-2880

Call (703) 249-7750 Map

Fax (703) 249-7776

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.

8 other providers at this address

NPI record

NPI: 1881760767
Entity type: Organization (Type 2)
Issued: Nov 24, 2006
Last updated: Oct 10, 2025
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of the Mid-Atlantic States,inc

Other names

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

Authorized official

Colleen 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 1881760767

Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc's National Provider Identifier is 1881760767, issued on Nov 24, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Burke, VA. The record was last updated on Oct 10, 2025.