National Provider Identifier Database

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES INC
Managed Care Organization 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.


Contact Information

KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
815 E PRATT ST
BALTIMORE, MD21202-4402
Phone: 410-637-5750
Fax: 410-637-5751
Website:
Specialty Taxonomy Code
* Managed Care Organization Pharmacy 3336M0003X

* Indicates primary specialty

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

NPI Number 1508932484
Legal business name
LBN
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official COLLEEN SWINTON - (CREDENTIALING DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 11/24/2006
Last updated 07/24/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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