KAISER FOUNDATION HEALTHPLAN OF COLORADO (NPI# 1467882597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467882597 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTHPLAN OF COLORADO |
| Other Organization Name | KAISER PERMANENTE GREELEY PHARMACY |
| Practice Address |
2429 35th Ave Greeley CO 80634-4171 |
| Practice Telephone | 3033266717 |
| Mailing Telephone | 3033266717 |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |
| Authorized Official Name | DENESE CLARK (AREA ADMINISTRATOR PHARMACY BE) |
| 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 |
1680000049 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143091 | 01 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Greeley 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 |
| 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 |
| 1356416614 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 16290 E Quincy Ave, Aurora, CO 80015-1594 | 2006-11-22 |
| 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 |
2429 35TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345391 | Brian J Kingston | Family Medicine | 2429 35th Ave, Greeley, CO 80634-4171 | 2005-06-08 |
| 1164875431 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2429 35th Ave, Greeley, CO 80634-4171 | 2016-07-21 |
| 1558789263 | Emily Grace Allwein | Pediatrics | 2429 35th Ave, Greeley, CO 80634-4171 | 2014-03-31 |
| 1225469232 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-12-02 |
| 1023447679 | Vanessa G Wittstruck | Physician Assistant | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-11-04 |
| 1699116780 | Cavan Wilhelm | Pharmacist | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-07-17 |
| 1710227434 | Kaiser Foundation Health Plan of Co | Clinic/Center | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-02-15 |
| 1679865091 | Lindsey Kae Gerdes | Family Medicine | 2429 35th Ave, Greeley, CO 80634-4171 | 2011-05-03 |
| 1801099585 | Amanda Elizabeth Hill | Pediatrics | 2429 35th Ave, Greeley, CO 80634-4171 | 2007-06-08 |
| 1336279124 | David Lee Sadeghi | Chiropractor | 2429 35th Ave, Greeley, CO 80634-4171 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| 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 |
| 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 |
| 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.