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 1801954300

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Managed Care Organization Pharmacy in Manassas, 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.

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Practice location Address checks out

10701 Rosemary Dr
Manassas, VA 20109-2843
Phone: (703) 257-3056
Fax: (703) 257-3133
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 number1801954300
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 Manassas Medical Center Pharmacy; Manassas Medical Center Pharmacy
NPI enumeratedDecember 5, 2006
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418