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


Address: 1890 Metro Center Drive, Reston, VA 20190-5276
Phone: 7037091810

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC (NPI# 1457416000) 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) 1457416000
Entity Type Organization
Organization Name KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC
Other Organization Name RX CHOICE MAIL ORDER PHARMACY
Practice Address 1890 Metro Center Drive
Reston
VA 20190-5276
Mailing Address 22370 Davis Dr
Suite 190
Sterling
VA 20164-5366
Practice Telephone 7037091810
Practice Fax Number 7037091688
Mailing Telephone 7034664800
Mailing Fax Number 7034664802
Enumeration Date 2006-12-26
Last Update Date 2012-11-13
Authorized Official Name DEANNE G PETERSEN (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 3018165780
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
N 3336M0003X Pharmacy
Specialization: Managed Care Organization Pharmacy
Suppliers
Y 3336M0002X Pharmacy
Specialization: Mail Order Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
Rx Choice Mail Order Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073953873 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367 2013-06-26
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 1890 METRO CENTER DRIVE
City RESTON
State VA
Zip Code 20190-5276

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912548470 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 2019-10-04
1205483260 Northern Virginia Applied Behavior Analysis, L.L.C. Behavioral Analyst 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 2019-08-23
1336796481 Sandra Chiunda Nurse Practitioner 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 2019-08-23
1891357232 Beyond Counseling, Inc. Clinic/Center 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 2019-07-06
1003470063 Sarah Katharina Jungnitsch Registered Nurse Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 2019-04-25
1194202341 May Health Care Services Inc Home Health 12110 Sunset Hills Road Suite 600, Reston, VA 20190 2018-07-20
1245739895 Carlee B. Genung Physician Assistant 1760 Reston Parkway Suite 306, Reston, VA 20190 2018-02-09
1760901045 Kristen Kelly Dietitian, Registered 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 2017-09-18
1245778992 Sarah Christine Bernstein Occupational Therapist 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 2017-02-02
1023495298 Phillip Nguyen Dentist 1800 Town Center Dr Ste 116, Reston, VA 20190 2015-04-27
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Taxonomy Information

Taxonomy Code 3336M0002X
Grouping Suppliers
Classification Pharmacy
Specialization Mail Order Pharmacy

Taxonomy Definition

A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
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
1780235739 Otr Firms Pharmacy 600 Church St Rm 141, Norfolk, VA 23501-9908 2019-09-20
1891148839 Homechoice Partners, Inc. Pharmacy 12695 Mcmanus Blvd Ste 1a, Newport News, VA 23602-4435 2016-07-14
1558439745 Infuscience, Inc. Pharmacy 4151 Lafayette Center Dr Ste 600, Chantilly, VA 20151 2006-12-04
1699854950 Homechoice Partners Inc Pharmacy 5365 Robin Hood Rd Ste 200, Norfolk, VA 23513-2416 2006-11-06
1447347646 Medco Health Solutions of Richmond LLC Pharmacy 9210 Forest Hill Ave, Suite B2, Richmond, VA 23235-6880 2006-10-07
1568495463 Family Ltc Pharmacy Inc Pharmacy 1049 Brookdale St, Ste B, Martinsville, VA 24112-3971 2006-07-07
1386183713 Kaiser Foundation Health Plan of The Mid-atlantic States,inc Pharmacy 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367 2017-02-17
1992057756 Express Pharmacy Pharmacy 1690 Old Bridge Rd, Woodbridge, VA 22192-8006 2012-10-03
1215068531 Mao Pharmacy Inc Pharmacy 5823 Patterson Ave, Ste A, Richmond, VA 23226-2536 2007-03-08

Competitor

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City RESTON
Zip Code 20190

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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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