Organization · Type 2 NPI
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Managed Care Organization Pharmacy · Hyattsville, MD
NPI number
1073242517
Active
Practice location
5620 Ager Road
Hyattsville, MD 20782
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | None listed |
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.
2 other providers at this address
About NPI 1073242517
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1073242517, issued on Jun 9, 2022. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Hyattsville, MD. The record was last updated on Jul 24, 2025.