KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC NPI 1578885463

NPI Information

  • NPI: 1578885463
  • Provider Name: KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
  • Classification: Pharmacy - 3336H0001X
  • Specialization: Home Infusion Therapy Pharmacy
  • Entity Type: Organization
  • Doing Business As: KAISER PERMANENTE LARGO INFUSION PHARMACY
  • Address: 1221 MERCANTILE LN
    LARGO, MD
    ZIP 20774
  • Phone: (301) 618-5880

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NPI Details

KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC is a home infusion therapy pharmacy pharmacy in Largo, MD. The provider is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC NPI is 1578885463. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Largo Infusion Pharmacy.

The provider's business location address is:

1221 MERCANTILE LN
LARGO, MD
ZIP 20774-374
Phone: (301) 618-5880
Fax: (301) 618-5912

The provider's authorized official is John Connery .
The authorized official title is Pharmacy Benefits Coordinator and has the following contact phone number (703) 466-4800.

The enumeration date for this NPI number is 2/19/2010 and was last updated on 5/27/2021.

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
13336C0002XPharmacyClinic PharmacyNo
23336H0001XPharmacyHome Infusion Therapy PharmacyPW0335MARYLANDYes

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
12123905OTHERPK

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: 3/30/2025

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