Kaiser Permanente Fredericksburg Pharmacy
LBN: Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc
Kaiser Permanente Fredericksburg Pharmacy is an health care organization with primary practice located at 1201 Hospital Dr , Fredericksburg VA 22401-8428. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Managed Care Organization Pharmacy is the primary health care specialty.
Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc can be contacted via phone (540) 368-3800, or through Petersen, Deanne G via phone (301) 816-5780.
Contact Information
Primary practice address
1201 Hospital Dr
Fredericksburg VA 22401-8428
Phone: (540) 368-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | 0201004261 | Virginia |
Profile Details
| NPI number | 1629223250 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc |
| DBA Doing business as | Kaiser Permanente Fredericksburg Pharmacy |
| Authorized official | Petersen, Deanne G |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 24th, 2008 |
| Last updated | May 27th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629223250 | NPPES |
| Other | 4841222 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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