KAISER PERMANENTE HEALTH PLAN OF COLORADO (NPI# 1609100957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609100957 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE HEALTH PLAN OF COLORADO |
| Other Organization Name | KAISER PERMANENTE PUEBLO NORTH PHARMACY |
| Practice Address |
3670 Parker Blvd Pueblo CO 81008-2285 |
| Practice Telephone | 7195955367 |
| Practice Fax Number | 7195955370 |
| Mailing Telephone | 7195955367 |
| Mailing Fax Number | 7195955370 |
| Enumeration Date | 2009-09-18 |
| 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 |
|---|---|---|---|---|---|
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
779 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2121958 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Pueblo North Pharmacy | Doing Business As Name - Organization |
| Street Address |
3670 PARKER BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478541 | Laurence A Berarducci | Internal Medicine | 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 | 2005-06-24 |
| 1134751712 | Parkview Medical Center, Inc. | Clinic/Center | 3670 Parker Blvd, Pueblo, CO 81008-2285 | 2020-02-11 |
| 1790253128 | Amber Doss | Nurse Practitioner | 3670 Parker Blvd, Pueblo, CO 81008-2285 | 2018-11-03 |
| 1275077323 | Deborah Wells | Registered Nurse | 3670 Parker Blvd, Pueblo, CO 81008-2285 | 2016-12-08 |
| 1275085086 | Kelsey Lynn Markenson | Nurse Practitioner | 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 | 2016-10-27 |
| 1235685652 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 3670 Parker Blvd, Ste 200, Pueblo, CO 81008-2285 | 2016-08-26 |
| 1225423981 | Monica Lyn Valdez | Registered Nurse | 3670 Parker Blvd, Suite 200, Pueblo, CO 81003 | 2015-03-31 |
| 1639576929 | Lana Brumfield | Nurse Practitioner | 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 | 2014-12-02 |
| 1215201454 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 3670 Parker Blvd, Ste 200, Pueblo, CO 81008-2285 | 2012-03-06 |
| 1760766430 | Karen Sue Springfield-verna | Nurse Practitioner | 3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285 | 2011-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1073814125 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2942 Evergreen Pkwy, Evergreen, CO 80439-7909 | 2010-11-05 |
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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.