KAISER FOUNDATION HEALTHPLAN OF COLORADO (NPI# 1356416614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356416614 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTHPLAN OF COLORADO |
| Other Organization Name | KAISER PERMANENTE SMOKEY HILL PHARMACY |
| Practice Address |
16290 E Quincy Ave Aurora CO 80015-1594 |
| Practice Telephone | 3036993820 |
| Practice Fax Number | 3036993840 |
| Mailing Telephone | 3036993820 |
| Mailing Fax Number | 3036993840 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | DENESE CLARK (REGIONAL ADMINISTRATOR) |
| Authorized Official Telephone | 3033266717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
70000041 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2002803 | 01 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE Smokey Hill PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1467882597 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-11-27 |
| 1083900831 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 4318 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2011-06-21 |
| 1891089645 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 859 S 4th Ave, Brighton, CO 80601-3543 | 2011-06-08 |
| 1073814125 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2942 Evergreen Pkwy, Evergreen, CO 80439-7909 | 2010-11-05 |
| 1942533914 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2009-09-09 |
| 1083789341 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 16601 E Centretech Pkwy, Aurora, CO 80011-9045 | 2006-11-22 |
| 1376618629 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2006-11-22 |
| Street Address |
16290 E QUINCY AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80015-1594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225021116 | Sarah B Vanscoy | Pediatrics | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2005-08-25 |
| 1659907673 | Nicole Kapuranis | Pharmacist | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2020-03-21 |
| 1841704582 | Roberta Jean Evans | Massage Therapist | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2017-11-16 |
| 1982136396 | Ciprian Viziteu | Family Medicine | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2017-04-03 |
| 1245777077 | Trena Berube | Registered Nurse | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2017-01-31 |
| 1679027825 | Jessica Lucero | Specialist | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2016-08-04 |
| 1316390933 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2016-07-19 |
| 1053767749 | Sean Carl Vidulich | Family Medicine | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2016-05-11 |
| 1164818886 | Katherine E Rostad | Family Medicine | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2015-04-09 |
| 1972998185 | Lori Evelyn Demayo | Registered Nurse | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2015-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679128326 | Heather Hartleroad | Counselor | 21699 E Quincy Ave Unit F, #352, Aurora, CO 80015 | 2019-08-08 |
| 1033602792 | 4abilities, LLC. | Non-emergency Medical Transport (VAN) | 5105 S Valdai Street, Aurora, CO 80015 | 2018-06-07 |
| 1952827719 | 1st Centennial Home Health LLP | Home Health | 5418 S Danube Way, Centennial, CO 80015 | 2017-08-14 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1467909028 | Silver Touch Home Care | In Home Supportive Care | 21804 E. Lake Pl, Aurora, CO 80015 | 2016-09-01 |
| 1417302514 | Michelle Dinges | Dietitian, Registered | 5606 S Helena Ct, Centennial, CO 80015 | 2016-04-27 |
| 1043664907 | Gomgom Siregar | Home Health Aide | 5235 S Liverpool Way, Centennial, CO 80015 | 2016-04-18 |
| 1104280528 | Lloyd Reliford | Custodial Care Facility | 5556 S Jericho Way, Centennial, CO 80015 | 2016-04-12 |
| 1003279563 | Victoria Care Services | Respite Care | 17285 E Wagontrail Pkwy, Aurora, CO 80015 | 2016-04-01 |
| 1699130104 | Gina Michelle Fernandez | Physician Assistant | 14813 E Radcliff Pl, Aurora, CO 80015 | 2015-12-28 |
| Find all providers in zip 80015 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1770911729 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 10240 Park Meadow Dr, Lone Tree, CO 80124-5425 | 2013-10-29 |
| 1033652524 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 1136 E Stuart St, Fort Collins, CO 80525-1195 | 2016-12-01 |
| 1235545211 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 8383 W Alameda Ave, 2nd Floor, Lakewood, CO 80226-3007 | 2014-07-10 |
| 1467882597 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-11-27 |
| 1306274378 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2013-10-29 |
| 1427303601 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 4901 Thompson Pkwy, Loveland, CO 80534-6426 | 2012-07-13 |
| 1396005336 | Kaiser Foundation Health Plan of Colorado | Pharmacy | 2950 E Harmony Rd, Fort Collins, CO 80528-3419 | 2012-05-24 |
| 1083900831 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 4318 Trail Boss Dr, Castle Rock, CO 80104-7512 | 2011-06-21 |
| 1891089645 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 859 S 4th Ave, Brighton, CO 80601-3543 | 2011-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.