KAISER FOUNDATION HEALH PLAN OF THE MID-ATLANTIC STATES INC. (NPI# 1871067207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871067207 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALH PLAN OF THE MID-ATLANTIC STATES INC. |
| Other Organization Name | KAISER PERMANENTE ALEXANDRIA PHARMACY |
| Practice Address |
3000 Potomac Ave Alexandria VA 22305-3084 |
| Mailing Address |
22370 Davis Dr Sterling VA 20164-5367 |
| Practice Telephone | 7037216310 |
| Practice Fax Number | 7037216320 |
| Mailing Telephone | 7034664800 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | MR. JOSEPTH T BUTZ (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3018165867 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAISER FOUNDATION HEALTH OF THE PLAN MID-ATLANTIC STATES,INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Alexandria Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396866430 | Kaiser Foundation Healh Plan of The Mid-atlantic States Inc. | Health Maintenance Organization | 2301 M St Nw, Washington, DC 20037-1427 | 2007-04-03 |
| Street Address |
3000 POTOMAC AVE |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22305-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821475823 | Shrey Carpenter | Family Medicine | 3000 Potomac Ave, Alexandria, VA 22305-3084 | 2015-04-29 |
| 1376004457 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Clinical Medical Laboratory | 3000 Potomac Ave, Alexandria, VA 22305-3084 | 2019-03-29 |
| 1134680200 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Health Maintenance Organization | 3000 Potomac Ave, Alexandria, VA 22305-3084 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992195531 | Ayesha Abbasi | Pharmacy Technician | 1301 Jefferson Davis Highway, Alexandria, VA 22305 | 2015-02-04 |
| 1164620027 | Neighborhood Health | Clinic/Center | 2 E Glebe, Alexandria, VA 22305 | 2007-07-03 |
| 1073147518 | Jennifer Marie Downey | Registered Nurse | 802 Manor Rd Apt 302, Alexandria, VA 22305-1126 | 2020-02-24 |
| 1033461363 | Ellen Ilse Sviland | Dietitian, Registered | 3822 Florence Dr Apt 2, Alexandria, VA 22305-1422 | 2012-10-10 |
| 1437549375 | Marjorie Franke | Specialist/Technologist | 226 Guthrie Ave, Alexandria, VA 22305-1817 | 2015-01-30 |
| 1629379672 | Alexandra Cramer Coughlin | Social Worker | 231 Guthrie Ave, Alexandria, VA 22305-1818 | 2010-11-08 |
| 1497364491 | Adriana Pacheco-figueroa | Student in an Organized Health Care Education/Training Program | 2815 Mosby St, Alexandria, VA 22305-1828 | 2020-07-26 |
| 1699221390 | Sherrill Mcmillan | Counselor | 3201 Lanover Street, Apt 1706, Alexandria, VA 22305-1938 | 2016-09-01 |
| 1548521834 | Carrie Field | Social Worker | 3813 Charles Ave, Alexandria, VA 22305-2053 | 2012-06-03 |
| 1144578105 | Allison C Gunta | Speech-Language Pathologist | 3801 Elbert Ave, Alexandria, VA 22305-2058 | 2012-08-24 |
| Find all providers in zip 22305 | ||||
| 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 |
| 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 |
| 1801954383 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 201 North Washington Street, Falls Church, VA 22046-4518 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 22305 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALH PLAN OF THE MID-ATLANTIC STATES INC..
| 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.