OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1295485928 · Managed Care Organization Pharmacy · Woodbridge, VA
Provider details
- NPI number
- 1295485928
- Entity type
- Organization
- Primary specialty
- Managed Care Organization PharmacySuppliers
- Parent organization
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Organization subpart
- Yes
- Authorized official
- Colleen Swinton, Director, Credentialing(301) 257-2797
Specialties & taxonomies
Suppliers
Practice location
13285 Minnieville Rd
Woodbridge, VA 22192-4018
Phone: (703) 986-2500
Fax: (703) 986-2512
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Caton Hill Pharmacy
- Doing business as
- Kaiser Permanente Caton Hill Pharmacy
Registry dates
- Enumerated
- 2022-03-25
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.