Ashburn Medical Center Pharmacy
LBN: Kaiser Foundation Health Plan Of The Mid-Atlantic States,Inc
Ashburn Medical Center Pharmacy is an health care organization with primary practice located at 43480 Yukon Dr Ste 100, Ashburn VA 20147-6988. The organization recently has only one registered license in Suppliers / Managed Care Organization Pharmacy, which is considered as the primary health care specialty.
Kaiser Foundation Health Plan Of The Mid-Atlantic States,Inc can be contacted via phone (703) 227-5006, or through Petersen, Deanne G via phone (301) 816-5760.
Contact Information
Primary practice address
43480 Yukon Dr Ste 100
Ashburn VA 20147-6988
Phone: (703) 227-5006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | 0201004121 | Virginia |
Profile Details
| NPI number | 1811031743 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Of The Mid-Atlantic States,Inc |
| DBA Doing business as | Ashburn Medical Center Pharmacy |
| Authorized official | Petersen, Deanne G |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| 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 | 1811031743 | NPPES |
| Other | 4839669 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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