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 1700159035

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Managed Care Organization Pharmacy in Mc Lean, Virginia. Registered with an NPI since 2012.

In the registry since
2012
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

8008 Westpark Dr
Mc Lean, VA 22102-3109
Phone: (703) 490-8400
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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

Record details

NPI number1700159035
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 Tysons Corner Medical Center Pharmacy; Tysons Corner Medical Center Pharmacy
NPI enumeratedFebruary 16, 2012
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418