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 Clinic Pharmacy · NPI 1578885463

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Clinic Pharmacy in Largo, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010
Specialties on file
2
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

1221 Mercantile Ln
Largo, MD 20774-5374
Phone: (301) 618-5880
Fax: (301) 618-5912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Infusion Therapy Pharmacy (primary) Taxonomy 3336H0001X · Licence PW0335 (MD)
Clinic Pharmacy Taxonomy 3336C0002X

Record details

NPI number1578885463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Colleen Swinton — Credentialing Director · (301) 257-2797
Other names Kaiser Permanente Largo Infusion Pharmacy; Kaiser Permanente Largo Infusion Pharmacy
NPI enumeratedFebruary 19, 2010
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418