KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1326114208
Pharmacy - Managed Care Organization Pharmacy in Fairfax, VA

Active since November 24, 2006
12255 FAIR LAKES PARKWAY, FAIRFAX, VA 22033(703) 934-5800(703) 934-5835 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2024, May 26, 2021 (2 updates tracked since 2021).

About Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC (NPI 1326114208), doing business as Fair Oaks Medical Center Pharmcy, is a healthcare organization registered as a managed care organization pharmacy in Fairfax, Virginia and active in the NPI registry since November 2006. The organization lists Colleen Swinton, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1326114208
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Location Address12255 FAIR LAKES PARKWAYFairfax, VA 22033-3952
Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424
Fax(703) 934-5835
Organization SubpartYes
Authorized OfficialColleen SwintonDirector, Credentialing · (301) 257-2797
Enumeration DateNovember 24, 2006
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1326114208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code3336M0003X
Definition
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.
12255 FAIR LAKES PARKWAY, Fairfax, VA 22033

Other Names 1

Doing Business AsFair Oaks Medical Center Pharmcy

Accepted Insurance

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Optometrist
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Ophthalmology
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Pediatrics
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Nurse Practitioner
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Nurse Practitioner
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Internal Medicine
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Orthopaedic Surgery
12255 FAIR LAKES PARKWAY
FAIRFAX, VA 22033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc's NPI number?

The NPI number for Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is 1326114208. It was assigned to this organization in the NPPES registry on November 24, 2006. The provider is doing business as Fair Oaks Medical Center Pharmcy.

Where is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc located?

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc is located at 12255 Fair Lakes Parkway, Fairfax, VA 22033. The listed phone number is (703) 934-5800.

What is Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Managed Care Organization Pharmacy, with taxonomy code 3336M0003X.

What insurance does Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 20 other insurers list Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.