KAISER PERMANENTE FOUNDATION OF COLORADO (NPI# 1407924236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407924236 |
| Entity Type | Organization |
| Organization Name | KAISER PERMANENTE FOUNDATION OF COLORADO |
| Other Organization Name | KAISER PERMANENTE WHEAT RIDGE PHARMACY |
| Practice Address |
4803 Ward Rd Wheat Ridge CO 80033-1902 |
| Practice Telephone | 3034215050 |
| Practice Fax Number | 3034215066 |
| Mailing Telephone | 3034215050 |
| Mailing Fax Number | 3034215066 |
| Enumeration Date | 2006-12-01 |
| 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 |
1280000010 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2003186 | 01 |
| Other Name | Type Code |
|---|---|
| KAISER PERMANENTE WHEAT RIDGE PHARMACY | Doing Business As Name - Organization |
| Street Address |
4803 WARD RD |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962409318 | Debra A Friesen | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2005-06-30 |
| 1932622198 | Denise K Johler | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-07-19 |
| 1487181483 | Hannelore Geeraert | Family Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-05-22 |
| 1720511892 | James Welle | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-04-06 |
| 1386181899 | Emily Mahar | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-01-22 |
| 1447708201 | Amanda Boshell | Registered Nurse | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-09-21 |
| 1841643400 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-07-19 |
| 1891144879 | Megan Grace Wendlandt | Obstetrics & Gynecology | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-06-09 |
| 1700240439 | Lindsey Ruth Kolar | Family Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-04-08 |
| 1710357124 | Valerie Diana Karvatski | Nurse Practitioner | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| 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 | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on KAISER PERMANENTE FOUNDATION OF COLORADO.
| 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.