KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1073242517
Pharmacy - Managed Care Organization Pharmacy in Hyattsville, MD

Active since June 09, 2022
5620 AGER ROAD, HYATTSVILLE, MD 20782(240) 906-6600 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, Jun 9, 2022 (2 updates tracked since 2022).

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 1073242517), doing business as Kaiser Permanente West Hyattsville Pharmacy, is a healthcare organization registered as a managed care organization pharmacy in Hyattsville, Maryland and active in the NPI registry since June 2022. The organization lists Colleen Swinton, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1073242517
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Location Address5620 AGER ROADHyattsville, MD 20782
Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424
Organization SubpartYesParent: Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Authorized OfficialColleen SwintonDirector, Credentialing · (301) 257-2797
Enumeration DateJune 9, 2022
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1073242517 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.
5620 AGER ROAD, Hyattsville, MD 20782

Other Names 1

Doing Business AsKaiser Permanente West Hyattsville Pharmacy

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Health Maintenance Organization
5620 AGER ROAD
HYATTSVILLE, MD 20782
Clinical Medical Laboratory
5620 AGER ROAD
HYATTSVILLE, MD 20782

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 1073242517. It was assigned to this organization in the NPPES registry on June 9, 2022. The provider is doing business as Kaiser Permanente West Hyattsville Pharmacy.

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 5620 Ager Road, Hyattsville, MD 20782. The listed phone number is (240) 906-6600.

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.