Kaiser Permanente Gaithersburg Infusion Pharmacy

LBN: Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc
Kaiser Permanente Gaithersburg Infusion Pharmacy is an health care organization with primary practice located at 655 Watkins Mill Rd , Gaithersburg MD 20879-3323. The organization recently has only one registered license in Suppliers / Home Infusion Therapy Pharmacy, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc can be contacted via phone (240) 632-4565, or through Petersen, Andee G via phone (301) 816-5760.

Contact Information

Primary practice address
655 Watkins Mill Rd Gaithersburg MD 20879-3323
Phone: (240) 632-4565
Fax: (240) 632-4566
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Andee G
Phone: (301) 816-5760

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1558639286
LBN Legal business name Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc
DBA Doing business as Kaiser Permanente Gaithersburg Infusion Pharmacy
Authorized official Petersen, Andee G
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 8th, 2011
Last updated May 27th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558639286 NPPES
Maryland Other 410092 MEDICARE GROUP ID

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