Kaiser Foundation Healthplan of Colorado

Primary specialty

Managed Care Organization PharmacyTaxonomy code 3336M0003X

License

827 Issued in CO

Legal business name

KAISER FOUNDATION HEALTHPLAN OF COLORADO

Doing business as

Kaiser Permanente Castle Rock Pharmacy

Practice address

4318 Trail Boss Dr
Castle Rock, CO 80104-7512

Phone

(303) 814-4160

Fax

(303) 814-4170

NPI assigned

Jun 21, 2011

Last updated

Aug 15, 2016By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Kaiser Permanente Castle Rock Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1083900831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 TRAIL BOSS DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "303-814-4170",
            "fax_number": "303-814-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 TRAIL BOSS DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "303-814-4160",
            "fax_number": "303-814-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTHPLAN OF COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-08-15",
        "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": "CO",
            "license": "827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaiser Permanente Castle Rock Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Kadavy, MA
• Steffanie Kadavy, PHARMD
• Noraini Kahn
• Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Castle Rock Medical Offices Laboratory)
• Kaiser Foundation Health Plan of Colorado (Kaiser Permanente Castle Rock Medical Offices)
• Lory-Anne Jessie Kallio, FNP
• Ankush Kalra, M.D.
• Stacie Leigh Kamada- Higa, DO
• Kramer Kamp
• Lisa M Kane, RN

• Pharmacy in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.