OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1811031743 · Managed Care Organization Pharmacy · Ashburn, VA
Provider details
- NPI number
- 1811031743
- 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
- License
- 0201004121 (VA)
Specialties & taxonomies
Suppliers
Practice location
43480 Yukon Dr
Ste 100
Ashburn, VA 20147-6988
Phone: (703) 227-5006
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Other names (DBA / former)
- Doing business as
- Ashburn Medical Center Pharmacy
- Doing business as
- Ashburn Medical Center Pharmacy
Registry dates
- Enumerated
- 2007-02-16
- 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.