OrganizationActive
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
NPI 1477618502 · Managed Care Organization Pharmacy · Frederick, MD
Provider details
- NPI number
- 1477618502
- Entity type
- Organization
- Primary specialty
- Managed Care Organization PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Colleen Swinton, Credentialing Director(301) 257-2729
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7190 Crestwood Blvd
Frederick, MD 21703
Phone: (240) 529-1800
Street-level locationGet directions
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2025-07-24
- Certified
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.