KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
NPI 1689732174
Pharmacy - Managed Care Organization Pharmacy in Largo, MD

Active since December 05, 2006
1221 MERCANTILE LANE, LARGO, MD 20774(301) 816-5552(301) 618-5554 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 1689732174), doing business as Largo Medical Center Pharmacy, is a healthcare organization registered as a managed care organization pharmacy in Largo, Maryland and active in the NPI registry since December 2006. The organization lists Colleen E Swinton, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1689732174
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Location Address1221 MERCANTILE LANELargo, MD 20774-5374
Mailing Address4000 Garden City DrHyattsville, MD 20785-2418 · (301) 816-2424
Fax(301) 618-5554
Organization SubpartYes
Authorized OfficialColleen E SwintonCredentialing Director · (301) 257-2797
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
NPI 1689732174 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.
1221 MERCANTILE LANE, Largo, MD 20774

Other Names 1

Doing Business AsLargo Medical Center Pharmacy

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Optometrist
1221 MERCANTILE LANE
LARGO, MD 20774
Otolaryngology
1221 MERCANTILE LANE
LARGO, MD 20774
Family Medicine (Adult Medicine)
1221 MERCANTILE LANE
LARGO, MD 20774
Internal Medicine
1221 MERCANTILE LANE
LARGO, MD 20774
Obstetrics & Gynecology
1221 MERCANTILE LANE
LARGO, MD 20774
Nurse Practitioner
1221 MERCANTILE LANE
LARGO, MD 20774
Audiologist
1221 MERCANTILE LANE
LANDOVER, MD 20774
Internal Medicine (Gastroenterology)
1221 MERCANTILE LANE
UPPER MARLBORO, MD 20774

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 1689732174. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Largo 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 1221 Mercantile Lane, Largo, MD 20774. The listed phone number is (301) 816-5552.

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 25, 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.