KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1124186606
Pharmacy - Managed Care Organization Pharmacy in Pasadena, MD

Active since December 05, 2006
8028 RICHIE HIGHWAY, SUITE 134, PASADENA, MD 21122(410) 553-2413(410) 553-2427 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 1124186606), doing business as Severna Park Medical Center Pharmacy, is a healthcare organization registered as a managed care organization pharmacy in Pasadena, Maryland and active in the NPI registry since December 2006. The organization lists Colleen Swinton, Director, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1124186606
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Location Address8028 RICHIE HIGHWAY, SUITE 134Pasadena, MD 21122-1030
Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424
Fax(410) 553-2427
Organization SubpartYes
Authorized OfficialColleen SwintonDirector, Credentialing · (301) 257-2797
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1124186606 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.
8028 RICHIE HIGHWAY, Pasadena, MD 21122

Other Names 1

Doing Business AsSeverna Park Medical Center Pharmacy

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 1124186606. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Severna Park Medical Center 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 8028 Richie Highway Suite 134, Pasadena, MD 21122. The listed phone number is (410) 553-2413.

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.

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.