Organization · Type 2 NPI
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Managed Care Organization Pharmacy · Temple Hills, MD
NPI number
1699841577
Active
Practice location
6104 Old Branch Avenue
Temple Hills, MD 20748-2518
Fax (301) 702-6118
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.
18 other providers at this address
- Kaiser Foundation Health Plan of the Mid Atlantic States, IncClinical Medical Laboratory Temple Hills, MD NPI 1750456695
- Aisha Peterson Johnson, MDFamily Medicine Physician Temple Hills, MD NPI 1184755431
- Andrea Karin Prosser, MDPediatrics Physician Temple Hills, MD NPI 1275606568
- Anthony D. Shepherd, MDFamily Medicine Physician Temple Hills, MD NPI 1629135553
- Chinyere Wogu Dike, MDPediatric Optometrist Temple Hills, MD NPI 1023184215
- Clifford Williams, PA CPhysician Assistant Temple Hills, MD NPI 1629136528
- Eunice Shakir, MDFamily Medicine Physician Temple Hills, MD NPI 1760529028
- Jenny Anne John, MDInternal Medicine Physician Temple Hills, MD NPI 1023195518
- John J. Lee, MDInternal Medicine Physician Temple Hills, MD NPI 1710048160
- Manyahlishal Telahun, CRNPFamily Nurse Practitioner Temple Hills, MD NPI 1811051972
- Pamela H. Reid, ODOptometrist Temple Hills, MD NPI 1922176833
- Reginald M. Wallen, MDFamily Medicine Physician Temple Hills, MD NPI 1225194210
About NPI 1699841577
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1699841577, issued on Nov 24, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Temple Hills, MD. The record was last updated on Jul 25, 2025.