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KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATESINC NPI 1942368402


NPI Information

NPI: 1942368402
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC

Doing Business As: KAISER PERMANENTE NORTHWEST DC PHARMACY

Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

CLIA Number: 09D0953870

Address:
2301 M ST NW
SUITE # 200
WASHINGTON, DC
ZIP 20037
Phone: (202) 419-6900
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KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC is a managed care organization pharmacy pharmacy in Washington, DC. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC NPI is 1942368402. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Northwest Dc Pharmacy.

The provider's business location address is:

2301 M ST NW
SUITE # 200
WASHINGTON, DC
ZIP 20037-427
Phone: (202) 419-6900
Fax: (301) 816-7170

The provider's authorized official is Deanne G Petersen .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 816-5760.

The CLIA number assigned to this NPI record is 09D0953870 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/5/2006 and was last updated on 5/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336M0003XPharmacyManaged Care Organization PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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