NPIMap

Organization Active NPI

Kaiser Foundation Health Plan of Colorado

  • Managed Care Organization Pharmacy
  • Fort Collins, CO
National Provider Identifier
1396005336
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Managed Care Organization PharmacyTaxonomy code 3336M0003X
License
844 Issued in CO
Legal business name
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Practice address
2950 E Harmony Rd
Fort Collins, CO 80528-3419
Phone
(970) 207-7133
Fax
(970) 207-7130
NPI assigned
May 24, 2012
Organization subpart
Yes
Parent organization
KAISER FOUNDATION HEALTH PLAN OF COLORADOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 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 844 CO Primary

Addresses

Primary practice location

2950 E Harmony Rd
Fort Collins, CO 80528-3419

Mailing address

2950 E Harmony Rd
Fort Collins, CO 80528-3419
Phone (970) 207-7133

Other identifiers 1

IdentifierTypeStateIssuer
2135283OtherPK

Other names 1

  • Kaiser Permanente Ft. Collins 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)

National Provider Directory

National Provider Directory
Tax ID family
Kaiser Permanente Foundation Healthplan of Colorado97 organizations share this tax ID, including this one
Part of
Kaiser Permanente Foundation Healthplan of Colorado

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1396005336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E HARMONY RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283419",
            "telephone_number": "970-207-7133",
            "fax_number": "970-207-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E HARMONY RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283419",
            "telephone_number": "970-207-7133",
            "fax_number": "970-207-7130"
        }
    ],
    "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": "2012-05-24",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "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": "844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135283",
            "state": null
        }
    ],
    "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": "2950 E Harmony Rd",
            "city": "Fort Collins",
            "state": "CO",
            "country_code": "US",
            "postal_code": "805283419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaiser Permanente Ft. Collins Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaiser Permanente Ft. Collins Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.