KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC (NPI# 1073953873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073953873 |
Entity Type | Organization |
Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC |
Other Organization Name | STERLING AUTOMATED REFILL CENTER |
Practice Address |
22370 Davis Dr Suite 190 Sterling VA 20164-5367 |
Practice Telephone | 7034664900 |
Practice Fax Number | 7034664901 |
Mailing Telephone | 7034664900 |
Mailing Fax Number | 7034664901 |
Enumeration Date | 2013-06-26 |
Last Update Date | 2017-02-15 |
Authorized Official Name | JOSEPH T BUTZ (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 3018165867 |
Is Organization Subpart | Y |
Parent Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
Sterling Automated Refill Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457416000 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 1890 Metro Center Drive, Reston, VA 20190-5276 | 2006-12-26 |
1710045299 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 655 Watkins Mill Road, Gaithersburg, MD 20879-3323 | 2006-12-05 |
1376601872 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Radiology | 10410 North Kensington Parkway, Kensington, MD 20895-2138 | 2006-12-05 |
1215002258 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 7141 Security Boulevard, Baltimore, MD 21244-1811 | 2006-11-22 |
1386183713 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367 | 2017-02-17 |
1366781700 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinic/Center | 1221 Mercantile Ln, Largo, MD 20774-5374 | 2013-02-05 |
1942546486 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinic/Center | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | 2013-01-02 |
1104199421 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinical Medical Laboratory | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2012-02-16 |
1245512110 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Clinical Medical Laboratory | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3323 | 2011-09-15 |
1881849255 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Health Maintenance Organization | 1201 Hospital Dr, Fredericksburg, VA 22401-8428 | 2008-11-26 |
Street Address |
22370 DAVIS DR SUITE 190 |
City | STERLING |
State | VA |
Zip Code | 20164-5367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891347894 | Suza Woldebruk Tsegai | Pharmacist | 22370 Davis Dr, Sterling, VA 20164-5367 | 2019-07-10 |
1386183713 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367 | 2017-02-17 |
1538616800 | Amy Chan Wu | Pharmacist | 22370 Davis Dr, Sterling, VA 20164-5367 | 2016-09-05 |
1285087197 | Brittany Vogel | Pharmacist | 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367 | 2016-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
Find all providers in zip 20164 |
Taxonomy Code | 3336M0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Managed Care Organization Pharmacy |
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578120747 | Kaiser Foundation Health Plan of The Mid Atlantic States, Inc. | Pharmacy | 15050 Heathcote Blvd, Haymarket, VA 20169-6251 | 2019-05-23 |
1477016368 | Kaiser Foundation Health Plan of The Mid-atlantic States Inc. | Pharmacy | 125 Hospital Center Blvd Ste 110, Stafford, VA 22554-6202 | 2019-04-09 |
1457416000 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 1890 Metro Center Drive, Reston, VA 20190-5276 | 2006-12-26 |
1871067207 | Kaiser Foundation Healh Plan of The Mid-atlantic States Inc. | Pharmacy | 3000 Potomac Ave, Alexandria, VA 22305-3084 | 2019-01-18 |
1538429873 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2012-05-21 |
1700159035 | Kaiser Foundation Health Plan of The Mid-atlantic States, Inc | Pharmacy | 8008 Westpark Dr, Mc Lean, VA 22102-3109 | 2012-02-16 |
1811031743 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 43480 Yukon Dr, Ste 100, Ashburn, VA 20147-6988 | 2007-02-16 |
1740340983 | Kaiser Permanente Ashburn Med Ctr | Pharmacy | 43480 Yukon Dr, Ste 100, Ashburn, VA 20147-6984 | 2006-12-11 |
1770643637 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 14139 Potomac Mills Road, Woodbridge, VA 22192 | 2006-12-11 |
1801954383 | Kaiser Foundation Health Plan of The Mid-atlantic States,inc | Pharmacy | 201 North Washington Street, Falls Church, VA 22046-4518 | 2006-12-05 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.