KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC – NPI #1356013577
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC is a pharmacy located in TIMONIUM, MD. NPPES has assigned the NPI number 1356013577 to KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC on October 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336M0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Managed Care Organization Pharmacy

The NPI profile was last updated on Jul 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC below.

NPI Profile for
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

NPI Number
1356013577
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Primary location
2391 GREENSPRING DRIVE
1ST FLOOR
TIMONIUM, MD 21093
Phone: (410) 847-3020 Fax: (410) 847-3022
Mailing address
4000 GARDEN CITY DR
HYATTSVILLE, MD 20785-2418
Phone: (301) 816-2424 Fax:
Organization Subpart
Yes - KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC is subpart of another organization.
Authorized Official
COLLEEN SWINTON
DIRECTOR, CREDENTIALING
Phone: (301) 257-2797
Updated
Certification Date
Jul 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336M0003X
- Pharmacy / Managed Care Organization Pharmacy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
2391 GREENSPRING DRIVE,
TIMONIUM, MD 77025-1669