Organization · Type 2 NPI
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Managed Care Organization Pharmacy · Pasadena, MD
NPI number
1124186606
Active
Practice location
8028 Richie Highway, Suite 134
Pasadena, MD 21122-1030
Fax (410) 553-2427
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.
About NPI 1124186606
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1124186606, issued on Dec 5, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Pasadena, MD. The record was last updated on Jul 24, 2025.