OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1801954300 · Managed Care Organization Pharmacy · Manassas, VA
Provider details
- NPI number
- 1801954300
- 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
10701 Rosemary Dr
Manassas, VA 20109-2843
Phone: (703) 257-3056
Fax: (703) 257-3133
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Other names (DBA / former)
- Doing business as
- Manassas Medical Center Pharmacy
- Doing business as
- Manassas Medical Center Pharmacy
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.