KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC


Address: 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367
Phone: 7034664900

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336M0003X Pharmacy
Specialization: Managed Care Organization Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Sterling Automated Refill Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 22370 DAVIS DR
SUITE 190
City STERLING
State VA
Zip Code 20164-5367

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 3336M0003X
Grouping Suppliers
Classification Pharmacy
Specialization Managed Care Organization Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City STERLING
Zip Code 20164

Improve Information

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Dataset Information

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.

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