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 1417023391

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Managed Care Organization Pharmacy in Columbia, Maryland. Registered with an NPI since 2006.

In the registry since
2006
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

7070 Samuel Morse Dr
Columbia, MD 21046-3405
Phone: (410) 309-7500
Fax: (410) 309-3350
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 number1417023391
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKaiser Foundation Health Plan of the Midatlantic States, Inc
Authorized official Colleen Swinton — Credentialing Director · (301) 257-2797
Other names Columbia Gateway Medical Center Pharmacy; Columbia Gateway Medical Center Pharmacy
NPI enumeratedNovember 24, 2006
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418