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 1124366554

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Managed Care Organization Pharmacy in Halethorpe, Maryland. Registered with an NPI since 2013.

In the registry since
2013
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

1701 Twin Springs Rd
Halethorpe, MD 21227-3553
Phone: (410) 737-5200
Fax: (410) 737-5201
Show map & directions

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 number1124366554
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 South Baltimore County Pharmacy; Kaiser Permanente South Baltimore County Pharmacy
NPI enumeratedJanuary 18, 2013
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418