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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Loudon Medical Center Pharmacy | Doing Business As Name - Organization |
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 |
Street Address |
19450 DEERFIELD AVENUE SUITE 300 |
City | LANSDOWNE |
State | VA |
Zip Code | 20176-6821 |
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 |
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 Code | 3336M0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | 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. |
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] |
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 |
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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.