OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1700951746 · Managed Care Organization Pharmacy · Lansdowne, VA
Provider details
- NPI number
- 1700951746
- Entity type
- Organization
- Primary specialty
- Managed Care Organization PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Colleen Swinton, Credentialing Director(301) 257-2797
Specialties & taxonomies
Suppliers
Practice location
19450 Deerfield Avenue
Suite 300
Lansdowne, VA 20176-6821
Phone: (703) 726-2125
Fax: (703) 726-4553
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Other names (DBA / former)
- Doing business as
- Loudon Medical Center Pharmacy
- Doing business as
- Loudon Medical Center Pharmacy
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.