Provider Type Icon

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC NPI 1194868422


NPI Information

NPI: 1194868422
Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC

Doing Business As: KAISER PERMANENTE FREDERICK MEDICAL CENTER

Classification: Pharmacy - 3336M0003X
Entity Type: Organization

Specialization: Managed Care Organization Pharmacy

Address:
7190 CRESTWOOD BLVD
FREDERICK, MD
ZIP 21703
Phone: (240) 529-1800
Get Directions

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC is a managed care organization pharmacy pharmacy in Frederick, MD. The provider is 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. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC NPI is 1194868422. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Frederick Medical Center.

The provider's business location address is:

7190 CRESTWOOD BLVD
FREDERICK, MD
ZIP 21703-314
Phone: (240) 529-1800

The provider's authorized official is Deanne G Petersen .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 816-5780.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 5/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336M0003XPharmacyManaged Care Organization PharmacyPO5143MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12133229OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.