Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Organization Active NPI Managed Care Organization Pharmacy · Pasadena, MD
NPI 1124186606 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1124186606
- 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
- 8028 Richie Highway
Suite 134
Pasadena, MD 21122-1030 - Phone
- (410) 553-2413
- Fax
- (410) 553-2427
- NPI assigned
- Dec 5, 2006
- 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) 21
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
8028 Richie Highway
Suite 134
Pasadena, MD 21122-1030
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Phone (301) 816-2424
Other names
- Severna Park Medical Center 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 Pasadena, MD
- Just a Little Help
- Asizat Oluwatoyin Kadiku
- Francelina Kage
- Eric M Kahn
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Rajendra Prasad Kamma
- Shredat Kandhai
- Kasper Loeb & Miller PA
- Lukas E Kassa
- Katie Hird LLC
All providers in Pasadena, 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.