National Provider Identifier Database

KAISER FOUNDATION HEALTH PLAN OF COLORADO
Managed Care Organization Pharmacy

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.


Contact Information

KAISER FOUNDATION HEALTH PLAN OF COLORADO
2950 E HARMONY RD
FORT COLLINS, CO80528-3419
Phone: 970-207-7133
Fax: 970-207-7130
Website:
Specialty Taxonomy Code
* Managed Care Organization Pharmacy 3336M0003X

* Indicates primary specialty

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF COLORADO

NPI Number 1396005336
Legal business name
LBN
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Authorized official DENESE CLARK - (REGIONAL ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 05/24/2012
Last updated 12/31/2025 - About 5 months ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 844
  • Other: 2135283 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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