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 Pharmacy · NPI 1629223250

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Pharmacy in Fredericksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
Specialties on file
2
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

1201 Hospital Dr
Fredericksburg, VA 22401-8428
Phone: (540) 368-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Managed Care Organization Pharmacy (primary) Taxonomy 3336M0003X · Licence 0201004261 (VA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1629223250
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 Fredericksburg Pharmacy; Kaiser Permanente Fredericksburg Pharmacy
NPI enumeratedNovember 24, 2008
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418

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