Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Organization Active NPI Managed Care Organization Pharmacy · Hyattsville, MD
NPI 1073242517 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1073242517
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Managed Care Organization Pharmacy 3336M0003X
- Legal business name
- KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
- Practice address
- 5620 Ager Road
Hyattsville, MD 20782 - Phone
- (240) 906-6600
- NPI assigned
- Jun 9, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
Authorized official
- Name
- Colleen Swinton
- Title
- Director, Credentialing
- Phone
- (301) 257-2797
Corporate family (same tax ID) 18
National Provider Directory
- Tax ID family
- Kaiser Found HLTH Plan
- Part of
- Kaiser Found HLTH Plan
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Managed Care Organization Pharmacy | 3336M0003X | Yes |
Addresses
Primary practice location
5620 Ager Road
Hyattsville, MD 20782
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Phone (301) 816-2424
Other names
- Kaiser Permanente West Hyattsville Pharmacy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Other providers in Hyattsville, MD
- Fanta Kaba
- Nassoro Kachingwe
- Hottouo Reine Kadio Epse Kouame
- Barry Jacob Kagan
- Allan K Kairuki
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Annova Njigwa Kakmani
- Julienne Kakmeni
All providers in Hyattsville, MD · Managed Care Organization Pharmacy in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.