KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
NPI 1871651349
Pharmacy - Managed Care Organization Pharmacy in Rockville, MD
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 1871651349), doing business as Shady Grove Medical Center Pharmacy, is a healthcare organization registered as a managed care organization pharmacy in Rockville, Maryland and active in the NPI registry since December 2006. The organization lists Colleen Swinton, Credentialing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Accepted Insurance
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKVILLE, MD 20850
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 1871651349. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Shady Grove 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 1396 Piccard Drive, Rockville, MD 20850. The listed phone number is (301) 548-5755.
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 October 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
