KAISER FOUNDATION HEALTHPLAN OF COLORADO (NPI# 1942533914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942533914 |
Entity Type | Organization |
Organization Name | KAISER FOUNDATION HEALTHPLAN OF COLORADO |
Other Organization Name | KAISER PERMANENTE BRIARGATE SENIOR HEALTH CENTER PHARMACY |
Practice Address |
4105 Briargate Pkwy Ste 125 Colorado Springs CO 80920-3482 |
Practice Telephone | 7192822466 |
Practice Fax Number | 7192822470 |
Mailing Telephone | 7192822466 |
Mailing Fax Number | 7192822470 |
Enumeration Date | 2009-09-09 |
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 |
776 | CO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2121786 | 01 |
Other Name | Type Code |
---|---|
Kaiser Permanente Briargate Senior Health Center 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 |
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 |
4105 BRIARGATE PKWY STE 125 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80920-3482 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952371718 | Mark M Reeves | Family Medicine | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2006-01-25 |
1376157040 | Wendy Michelle Adamscheck | Registered Nurse | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2020-09-01 |
1588179188 | Abbigail Brooke Ellerbroek | Audiologist | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920 | 2017-12-06 |
1457747446 | Debra Fox | Registered Nurse | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2015-04-07 |
1699191536 | Melinda Fortenbaugh | Physician Assistant | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2014-03-17 |
1295173151 | Laurel Ann Verant | Family Medicine | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2013-06-12 |
1174865588 | Geoffrey S Carlson | Internal Medicine | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2013-03-24 |
1790071835 | Tiffany R Burca | Family Medicine | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2011-06-28 |
1104115708 | Mikhail J Kuprian | Internal Medicine | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920 | 2011-04-04 |
1194014084 | Madhuri V Sharma | Family Medicine | 4105 Briargate Pkwy Ste 125, Colorado Springs, CO 80920-3482 | 2011-03-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
Find all providers in zip 80920 |
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 | COLORADO SPRINGS |
Zip Code | 80920 |
Please comment or provide details below to improve the information on KAISER FOUNDATION HEALTHPLAN 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.