Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Organization Managed Care Organization Pharmacy · NPI 1578120747

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Managed Care Organization Pharmacy in Haymarket, Virginia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15050 Heathcote Blvd
Haymarket, VA 20169-6251
Phone: (571) 455-7300
Fax: (571) 455-7301
Show map & directions

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 number1578120747
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKaiser Foundation Health Plan of the Mid Atlantic States, Inc
Authorized official Colleen Swinton — Credentialing Director · (301) 257-2797
Other names Kaiser Permanente Haymarket Crossroads Pharmacy; Kaiser Permanente Haymarket Crossroads Pharmacy
NPI enumeratedMay 23, 2019
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418