OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1477016368 · Managed Care Organization Pharmacy · Stafford, VA
Provider details
- NPI number
- 1477016368
- 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, Credentialing Director(301) 257-2797
Specialties & taxonomies
Suppliers
Practice location
125 Hospital Center Blvd Ste 110
Stafford, VA 22554-6202
Phone: (540) 602-6300
Fax: (540) 602-6302
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Colonial Forge Pharmacy
- Doing business as
- Kaiser Permanente Colonial Forge Pharmacy
Registry dates
- Enumerated
- 2019-04-09
- 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.