KAISER PERMANENTE ASHBURN MED CTR NPI 1740340983

NPI Information

  • NPI: 1740340983
  • Provider Name: KAISER PERMANENTE ASHBURN MED CTR
  • Classification: Pharmacy - 3336M0003X
  • Specialization: Managed Care Organization Pharmacy
  • Entity Type: Organization
  • CLIA Number: 49D1060677
  • Address: 43480 YUKON DR
    STE 100
    ASHBURN, VA
    ZIP 20147
  • Phone: (703) 227-5006

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NPI Details

KAISER PERMANENTE ASHBURN MED CTR is a managed care organization pharmacy pharmacy in Ashburn, VA. 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 PERMANENTE ASHBURN MED CTR NPI is 1740340983. The provider is registered as an organization entity type.

The provider's business location address is:

43480 YUKON DR
STE 100
ASHBURN, VA
ZIP 20147-984
Phone: (703) 227-5006

The provider's authorized official is Elsa Lam .
The authorized official title is Lead Pharmacist and has the following contact phone number (703) 227-5006.

The CLIA number assigned to this NPI record is 49D1060677 - health main. organization with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/11/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336M0003XPharmacyManaged Care Organization Pharmacy0201004121VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14839669OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

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: 3/30/2025

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