OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1538429873 · Managed Care Organization Pharmacy · Mc Lean, VA
Provider details
- NPI number
- 1538429873
- 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) 257-2729
Specialties & taxonomies
Suppliers
- Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8008 Westpark Dr
Mc Lean, VA 22102-3109
Phone: (703) 287-6585
Fax: (703) 287-6584
Street-level locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Tysons Corner Infusion Pharmacy
- Doing business as
- Kaiser Permanente Tysons Corner Infusion Pharmacy
Registry dates
- Enumerated
- 2012-05-21
- 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.