KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1477618502
Pharmacy - Managed Care Organization Pharmacy in Frederick, MD

Active since December 27, 2006
7190 CRESTWOOD BLVD, FREDERICK, MD 21703(240) 529-1800 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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 1477618502) is a healthcare organization registered as a managed care organization pharmacy in Frederick, Maryland and active in the NPI registry since December 2006. The organization lists Colleen Swinton, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1477618502
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Location Address7190 CRESTWOOD BLVDFrederick, MD 21703
Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424
Organization SubpartNo
Authorized OfficialColleen SwintonCredentialing Director · (301) 257-2729
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1477618502 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.
7190 CRESTWOOD BLVD, Frederick, MD 21703

Other Identifiers 1

Other2133229Other Id Number-commercial Number

Other Providers at the Same Location NPPES 11

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

Social Worker (Clinical)
7190 CRESTWOOD BLVD, KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703
Pharmacy (Managed Care Organization Pharmacy)
7190 CRESTWOOD BLVD
FREDERICK, MD 21703
Pharmacist
7190 CRESTWOOD BLVD
FREDERICK, MD 21703
Clinical Medical Laboratory
7190 CRESTWOOD BLVD
FREDERICK, MD 21703
Pediatrics
7190 CRESTWOOD BLVD, KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703
Family Medicine
7190 CRESTWOOD BLVD, KAISER PERMANENTE FREDERICK MEDICAL CENTER
FREDERICK, MD 21703
Family Medicine
7190 CRESTWOOD BLVD
FREDERICK, MD 21703
Pharmacist
7190 CRESTWOOD BLVD
FREDERICK, MD 21703

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 1477618502. It was assigned to this organization in the NPPES registry on December 27, 2006.

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 7190 Crestwood Blvd, Frederick, MD 21703. The listed phone number is (240) 529-1800.

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.