NPIMap

Organization Active NPI

Kaiser Foundation Health Plan of Colorado

Doing business as KAISER PERMANENTE Home IV PHARMACY

  • Managed Care Organization Pharmacy
  • Aurora, CO
National Provider Identifier
1083789341
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
Legal business name
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Doing business as
KAISER PERMANENTE Home IV PHARMACY
Practice address
16601 E Centretech Pkwy
Aurora, CO 80011-9045
Phone
(303) 344-7010
Fax
(303) 344-7048
NPI assigned
Nov 22, 2006
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KAISER FOUNDATION HEALTH PLAN OF COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Denese Clark
Title
Regional Administrator
Phone
(303) 326-6717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Managed Care Organization Pharmacy 3336M0003X Primary

Addresses

Primary practice location

16601 E Centretech Pkwy
Aurora, CO 80011-9045

Mailing address

16601 E Centretech Pkwy
Aurora, CO 80011-9045
Phone (303) 344-7010

Other names 1

  • KAISER PERMANENTE Home IV PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200701001245 CO Part B Supplier - Pharmacy 9739234410 Practice locations: Aurora, CO

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Kaiser96 organizations share this tax ID, including this one
Part of
Kaiser

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

16601 E Centretech Pkwy
Aurora, CO 80011
Phone (303) 326-6777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1083789341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 E CENTRETECH PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119045",
            "telephone_number": "303-344-7010",
            "fax_number": "303-344-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 E CENTRETECH PKWY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119045",
            "telephone_number": "303-344-7010",
            "fax_number": "303-344-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN OF COLORADO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAISER FOUNDATION HEALTH PLAN OF COLORADO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "DENESE",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "303-326-6717"
    },
    "taxonomies": [
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "CAREQUALITY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "16601 E Centretech Pkwy",
            "city": "Aurora",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800119045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KAISER PERMANENTE Home IV PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KAISER PERMANENTE Home IV PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.