Organization · Type 2 NPI
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Managed Care Organization Pharmacy · Frederick, MD
NPI number
1194868422
Active
Practice location
7190 Crestwood Blvd
Frederick, MD 21703-7314
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | PO5143 (MD) |
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.
11 other providers at this address
- Kaiser Foundation Health Plan of the Mid Atlantic States, IncClinical Medical Laboratory Frederick, MD NPI 1407999527
- Kaiser Foundation Health Plan of the Mid Atlantic States, IncManaged Care Organization Pharmacy Frederick, MD NPI 1477618502
- Adedoyin Shonekan, MDObstetrics & Gynecology Physician Frederick, MD NPI 1932326709
- Ann Louise Hallock, RPHPharmacist Frederick, MD NPI 1760723555
- Diana Erin McDermott, PHARM. DPharmacist Frederick, MD NPI 1972844702
- Laine Montgomery Cornelison, MDFamily Medicine Physician Frederick, MD NPI 1972762995
- Paula Grace, LCSW CClinical Social Worker Frederick, MD NPI 1003008830
- Sarah Kang-PakPharmacist Frederick, MD NPI 1245573427
- Sean David Bourne, MDFamily Medicine Physician Frederick, MD NPI 1700237534
- Sokpheary Srorn, MDFamily Medicine Physician Frederick, MD NPI 1609010271
- Susan K. Lovich, MDPediatrics Physician Frederick, MD NPI 1548347065
Other managed care organization pharmacy providers in Frederick
About NPI 1194868422
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1194868422, issued on Feb 15, 2007. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Frederick, MD. The record was last updated on Jul 24, 2025.