KAISER FOUNDATION HEALTH PLAN MID ATLANTIC STATES


Address: 19450 Deerfield Avenue, Suite 300, Lansdowne, VA 20176-6821
Phone: 7037262125

KAISER FOUNDATION HEALTH PLAN MID ATLANTIC STATES (NPI# 1700951746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700951746
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN MID ATLANTIC STATES
Other Organization Name LOUDON MEDICAL CENTER PHARMACY
Practice Address 19450 Deerfield Avenue
Suite 300
Lansdowne
VA 20176-6821
Mailing Address 2101 E Jefferson Street 3 West
Kaiser Permanent Data Management Department
Rockville
MD 20852-4908
Practice Telephone 7037262125
Practice Fax Number 7037264553
Mailing Telephone 3018167446
Mailing Fax Number 3018167170
Enumeration Date 2006-11-22
Last Update Date 2020-08-22
Authorized Official Name MR. WILLIAM G MORAN (DIRECTOR DATA MANAGEMENT)
Authorized Official Telephone 3018185832
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336M0003X Pharmacy
Specialization: Managed Care Organization Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Loudon Medical Center Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1568520070 Kaiser Foundation Health Plan Mid Atlantic States Pathology 12011 Lee Jackson Highway, Fairfax, VA 22033-3310 2006-12-05
1104984616 Kaiser Foundation Health Plan Mid Atlantic States Pathology 19450 Deerfield Avenue, Landsdowne, VA 20176-6821 2006-12-05

Office Location

Street Address 19450 DEERFIELD AVENUE
SUITE 300
City LANSDOWNE
State VA
Zip Code 20176-6821

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073670006 Banti D Chand Internal Medicine 19450 Deerfield Avenue, Ste 300, Lansdowne, VA 20176-6820 2007-01-02
1861552721 Kaiser Foundation Health Plan of The Mid Atlantic States,inc Optometrist 19450 Deerfield Avenue, Lansdowne, VA 20176-6821 2006-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053912923 Timothy Michael Nixon Pharmacist 61 Catoctin Circle, Leesburg, VA 20176 2020-11-05
1558996645 Stacey E Moran Occupational Therapist 44124 Woodrige Parkway, Lansdowne, VA 20176 2020-03-09
1710531272 Joseph H Kasuska Jr. Specialist/Technologist 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 2019-08-01
1568935849 Joel Manalang Polintan Jr. Physical Therapist 171 Cedarwalk Circle, Leesburg, VA 20176 2019-01-09
1194203026 Jing Cao Acupuncturist 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 2018-08-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1841717105 Happy Inhome Care Corp Respite Care 722 E Market St Ste 103, Leesburg, VA 20176 2017-08-28
1912423484 Aaa Good Healthcare LLC Nursing Care 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 2017-08-16
1740704253 Anna Maria Domingo Seaford Physician Assistant 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 2017-07-27
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
Find all providers in zip 20176

Taxonomy Information

Taxonomy Code 3336M0003X
Grouping Suppliers
Classification Pharmacy
Specialization Managed Care Organization Pharmacy

Taxonomy Definition

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.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578120747 Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. Pharmacy 15050 Heathcote Blvd, Haymarket, VA 20169-6251 2019-05-23
1477016368 Kaiser Foundation Health Plan of The Mid-atlantic States Inc. Pharmacy 125 Hospital Center Blvd Ste 110, Stafford, VA 22554-6202 2019-04-09
1073953873 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367 2013-06-26
1457416000 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 1890 Metro Center Drive, Reston, VA 20190-5276 2006-12-26
1871067207 Kaiser Foundation Healh Plan of The Mid-atlantic States Inc. Pharmacy 3000 Potomac Ave, Alexandria, VA 22305-3084 2019-01-18
1538429873 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc Pharmacy 8008 Westpark Dr, Mc Lean, VA 22102-3109 2012-05-21
1700159035 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc Pharmacy 8008 Westpark Dr, Mc Lean, VA 22102-3109 2012-02-16
1811031743 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 43480 Yukon Dr, Ste 100, Ashburn, VA 20147-6988 2007-02-16
1740340983 Kaiser Permanente Ashburn Med Ctr Pharmacy 43480 Yukon Dr, Ste 100, Ashburn, VA 20147-6984 2006-12-11
1770643637 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 14139 Potomac Mills Road, Woodbridge, VA 22192 2006-12-11
Find all providers with the same taxonomy

Competitor

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City LANSDOWNE
Zip Code 20176

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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