Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Organization Managed Care Organization Pharmacy · NPI 1073242517

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Managed Care Organization Pharmacy in Hyattsville, Maryland. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5620 Ager Rd
Hyattsville, MD 20782
Phone: (240) 906-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Managed Care Organization Pharmacy (primary) Taxonomy 3336M0003X

Record details

NPI number1073242517
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKaiser Foundation Health Plan of the Mid-Atlantic States, Inc
Authorized official Colleen Swinton — Director, Credentialing · (301) 257-2797
Other names Kaiser Permanente West Hyattsville Pharmacy; Kaiser Permanente West Hyattsville Pharmacy
NPI enumeratedJune 9, 2022
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418