Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Managed Care Organization Pharmacy in Fairfax, Virginia. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12255 Fair Lakes PkwyFairfax, VA 22033-3952
Phone: (703) 934-5800
Fax: (703) 934-5835
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Managed Care Organization Pharmacy (primary) | Taxonomy 3336M0003X |
|---|
Record details
| NPI number | 1326114208 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Kaiser Foundation Health Plan of the Mid Atlantic States, Inc |
| Authorized official | Colleen Swinton — Director, Credentialing · (301) 257-2797 |
| Other names | Fair Oaks Medical Center Pharmcy; Fair Oaks Medical Center Pharmcy |
| NPI enumerated | November 24, 2006 |
| Last updated in NPPES | July 24, 2025 |
| Certification date | July 24, 2025 |
| Mailing address | 4000 Garden City Dr, Hyattsville, MD 20785-2418 |