# KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAISER FOUNDATION HEALTH PLAN OF THE MIDATLANTIC STATES, INC
- **Other names:** Columbia Gateway Medical Center Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417023391
- **Legal business name:** KAISER FOUNDATION HEALTH PLAN OF THE MIDATLANTIC STATES, INC
- **Authorized official:** MRS. COLLEEN E SWINTON (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (301) 257-2797

## Contact information

- **Practice address:** 7070 SAMUEL MORSE DRIVE, COLUMBIA, MD 21046-3405
- **Practice address phone:** (410) 309-7500
- **Practice address fax:** (410) 309-3350
- **Mailing address:** 4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
- **Mailing address phone:** (301) 816-2424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2006
- **Last updated:** 07/24/2025