Organization · Type 2 NPI

Kaiser Foundation Health Plan of Colorado

Managed Care Organization Pharmacy · Lafayette, CO

NPI number 1376618629 Active

Practice location

280 Exempla Cir
Lafayette, CO 80026-3370

Fax (720) 536-7855

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Managed Care Organization Pharmacy Primary	3336M0003X	120000007 (CO)

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.

555 other providers at this address

NPI record

NPI: 1376618629
Entity type: Organization (Type 2)
Issued: Nov 22, 2006
Last updated: Nov 24, 2025
Status: Active

Other names

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Kaiser Permanente Rock Creek · doing business as
Kaiser Permanente Rock Creek · doing business as

Authorized official

Denese Clark
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 1376618629

Kaiser Foundation Health Plan of Colorado's National Provider Identifier is 1376618629, issued on Nov 22, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Lafayette, CO. The record was last updated on Nov 24, 2025.