Organization · Type 2 NPI

Kaiser Foundation Health Plan of Colorado

Managed Care Organization Pharmacy · Pueblo, CO

NPI number 1215406913 Active

Practice location

2625 W. Pueblo Blvd
Pueblo, CO 81004

Call (303) 326-6717 Map

Mailing address

16601 E Centretech Pkwy
Aurora, CO 80011-9045

Specialties and licenses

Taxonomy	Code	License
Managed Care Organization Pharmacy Primary	3336M0003X	None listed

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.

Other managed care organization pharmacy providers in Pueblo

Kaiser Foundation Health Plan of ColoradoManaged Care Organization Pharmacy Pueblo, CO NPI 1417846536

See all in Pueblo →

NPI record

NPI: 1215406913
Entity type: Organization (Type 2)
Issued: Nov 26, 2018
Last updated: Nov 24, 2025
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of Colorado

Other names

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Kaiser Permanente Acero Pharmacy · doing business as
Kaiser Permanente Acero Pharmacy · doing business as

Authorized official

Denese A Clark, RPH
Regional Administrator
(303) 326-6717

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215406913

Kaiser Foundation Health Plan of Colorado's National Provider Identifier is 1215406913, issued on Nov 26, 2018. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Pueblo, CO. The record was last updated on Nov 24, 2025.