Kaiser Foundation Health Plan of The Mid Atlantic States, Inc is a Managed Care Organization Pharmacy (organization) practicing in Timonium, Maryland. The National Provider Identifier (NPI) is #1356013577, which was assigned on October 5, 2021, and the registration record was last updated on July 24, 2025. The practitioner's main practice location is at 2391 Greenspring Drive, 1st Floor, Timonium, MD 21093; the contact telephone number is 4108473020, and the fax number is 4108473022. The primary taxonomy of Kaiser Foundation Health Plan of The Mid Atlantic States, Inc is Managed Care Organization Pharmacy (3336M0003X), with specialization in Managed Care Organization Pharmacy. The authorized official for Kaiser Foundation Health Plan of The Mid Atlantic States, Inc is Colleen Swinton (Director, Credentialing).
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.
| NPI | 1356013577 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC |
| Provider Name | KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC |
| Practice Address |
2391 Greenspring Drive 1st Floor Timonium MD 21093 |
| Practice Telephone | 4108473020 |
| Practice Fax Number | 4108473022 |
| Mailing Address |
4000 Garden City Dr Hyattsville MD 20785-2418 |
| Mailing Telephone | 3018162424 |
| Certification Date | 2025-07-24 |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2025-07-24 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC |
| Official Name | COLLEEN SWINTON |
| Official Title | DIRECTOR, CREDENTIALING |
| Telephone | 3012572797 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 3336M0003X | Pharmacy | Managed Care Organization Pharmacy |
| Other Organization Name | Type |
|---|---|
| Kaiser Permanente Lutherville-Timonium Pharmacy | Doing Business As Name |
| Endpoint Type | Endpoint | Affiliation Legal Business Name | Affiliation Address | Use Description |
|---|---|---|---|---|
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 22370 Davis Dr, Suite 190, Sterling, VA 20164-5367 | Mail Order Pharmacy | 2017-02-17 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 3400 Box Hill Corporate Center Dr, Ste 100, Abingdon, MD 21009-1261 | Clinical Medical Laboratory | 2017-02-15 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 125 Hospital Center Blvd Ste 110, Stafford, VA 22554-6202 | Clinical Medical Laboratory | 2019-07-30 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 | Ambulatory Surgical Clinic/Center | 2013-01-02 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 7141 Security Blvd, Baltimore, MD 21244-1811 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2016-02-15 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 | Health Service Clinic/Center | 2019-12-19 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 5620 Ager Road, Hyattsville, MD 20782 | Clinical Medical Laboratory | 2022-06-09 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 5402 Wisconsin Ave Ste A, Chevy Chase, MD 20815-3570 | Health Maintenance Organization | 2021-07-06 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 13285 Minnieville Rd Ste 103, Woodbridge, VA 22192-4018 | Occupational Medicine Clinic/Center | 2025-08-14 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 8019 Corporate Dr Ste A, Nottingham, MD 21236-4917 | Physical Therapy Clinic/Center | 2024-12-13 |
| Find all providers with the same name | |||
| Code | 3336M0003X |
| Taxonomy | Managed Care Organization Pharmacy |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| Grouping | Suppliers |
| Definition: 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Medical Hotspots, Inc | 3850 Nw 50th St, Tamarac, FL 33309-3316 | Managed Care Organization Pharmacy | 2025-07-16 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 6551 Loisdale Ct, Springfield, VA 22150-1828 | Managed Care Organization Pharmacy | 2022-09-01 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 43480 Yukon Dr, Ste 100, Ashburn, VA 20147-6988 | Managed Care Organization Pharmacy | 2007-02-16 |
| Kaiser Foundation Health Plan of Colorado | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | Managed Care Organization Pharmacy | 2018-11-26 |
| Kaiser Foundation Health Plan of The Mid-Atlantic States, Inc | 3000 Potomac Ave, Alexandria, VA 22305-3084 | Managed Care Organization Pharmacy | 2019-01-18 |
| Saad Shafi | 7113 Charlotte Pike Apt 673, Nashville, TN 37209-5333 | Managed Care Organization Pharmacy | 2025-11-19 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 | Managed Care Organization Pharmacy | 2017-02-16 |
| Kaiser Foundation Health Plan of Colorado | 10240 Park Meadow Dr, Lone Tree, CO 80124-5425 | Managed Care Organization Pharmacy | 2013-10-29 |
| Kaiser Foundation Health Plan of Colorado | 4901 Thompson Pkwy, Loveland, CO 80534-6426 | Managed Care Organization Pharmacy | 2012-07-13 |
| Tiffany Quynh-Dung Tran | 2921 Naches Ave Sw, Renton, WA 98057-2617 | Managed Care Organization Pharmacy | 2025-09-16 |
| Find all providers with the same taxonomy | |||
| Street Address |
2391 GREENSPRING DRIVE 1ST FLOOR |
| City | TIMONIUM |
| State | MD |
| Zip Code | 21093 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 2391 Greenspring Drive, Timonium, MD 21093 | Home Infusion Therapy Pharmacy | 2021-10-05 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 2391 Greenspring Drive, Timonium, MD 21093 | Ambulatory Surgical Clinic/Center | 2021-10-05 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 2391 Greenspring Drive, Timonium, MD 21093 | Health Maintenance Organization | 2021-10-08 |
| Kaiser Foundation Health Plan of The Mid Atlantic States, Inc | 2391 Greenspring Drive, Timonium, MD 21093 | Clinical Medical Laboratory | 2021-10-05 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Anna Yermolayeva | 9475 Deereco Rd Ste 204, Timonium, MD 21093-2122 | Student in an Organized Health Care Education/Training Program | 2023-06-20 |
| Yu Chen | 19 Edgemoor Road, Lutherville-Timonium, MD 21093 | Acupuncturist | 2025-05-16 |
| Bergand Group | 1300 York Road, Building C, Suite 100, Lutherville, MD 21093 | Substance Abuse Rehabilitation Facility | 2012-04-16 |
| Sandra Ghobrial | 5 Killadoon Ct, Timonium, MD 21093-1931 | Pharmacist | 2023-04-20 |
| Megan Marie Childers · Megan Marie Lagergren | 1407 York Rd, Suite 311, Lutherville, MD 21093 | Clinical Social Worker | 2019-08-01 |
| Ta-Ya Lee | 2360 W Joppa Rd Ste 306, Lutherville, MD 21093 | Acupuncturist | 2006-10-11 |
| Advanced Spine and Pain Centers, PLLC | 9626 Deereco Rd, Timonium, MD 21093-2120 | Interventional Pain Medicine Physician | 2025-10-23 |
| Mary Pinkard | 1615 Broadway Rd, Lutherville, MD 21093-1508 | Athletic Trainer | 2025-07-10 |
| Gregory Alan Small | 1 Texas Station Court, Suite 210, Timonium, MD 21093 | Internal Medicine Physician | 2008-06-04 |
| Adele Margel Crystal | 12 Glenamoy Rd Unit 101, Timonium, MD 21093-1993 | Clinical Social Worker | 2025-08-25 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kaiser Foundation Health Plan Inc | 80 Mahalani St, Wailuku, HI 96793-2531 | Clinic Pharmacy | 2007-02-09 |
| Kaiser Foundation Health Plan, Inc | 56-565 Kamehameha Hwy, Kahuku, HI 96731-2202 | Rural Health Clinic/Center | 2016-11-29 |
| Kaiser Foundation Health Plan Inc | 711 Kapiolani Blvd, Honolulu, HI 96813-5237 | Health Maintenance Organization | 2006-08-01 |
| Kaiser Foundation Health Plan of The Mid-Atlantic States, Inc | 1396 Piccard Drive, Rockville, MD 20850-4302 | Managed Care Organization Pharmacy | 2006-12-05 |
| Kaiser Foundation Health Plan Inc | 1010 Pensacola St, Honolulu, HI 96814-2118 | Clinic Pharmacy | 2007-02-09 |
| Kaiser Foundation Health Plan of Co | 3670 Parker Blvd, Ste 200, Pueblo, CO 81008-2207 | Clinic/Center | 2009-06-15 |
| Kaiser Foundation Health Plan Inc | 610 Walnut St, Redwood City, CA 94063-2049 | Clinic Pharmacy | 2007-01-08 |
| Kaiser Foundation Health Plan Inc | 56 700 Kamehameha Highway, Kahuku, HI 96731 | Managed Care Organization Pharmacy | 2007-02-09 |
| Kaiser Foundation Health Plan Inc | 800 Freedom Ln, Fl 1 Rm 1201, Aliso Viejo, CA 92656-5878 | Pharmacy | 2025-10-22 |
| Kaiser Foundation Health Plan of The Mid-Atlantic States, Inc | 3000 Potomac Ave, Alexandria, VA 22305-3084 | Managed Care Organization Pharmacy | 2019-01-18 |
Do you have more infomration about Kaiser Foundation Health Plan of The Mid Atlantic States, Inc? Please fill in the following form.
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |