Organization · Type 2 NPI

Kaiser Foundation Health Plan of Colorado

Managed Care Organization Pharmacy · Fort Collins, CO

NPI number 1396005336 Active

Practice location

2950 E Harmony Rd
Fort Collins, CO 80528-3419

Fax (970) 207-7130

Specialties and licenses

Taxonomy	Code	License
Managed Care Organization Pharmacy Primary	3336M0003X	844 (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.

8 other providers at this address

NPI record

NPI: 1396005336
Entity type: Organization (Type 2)
Issued: May 24, 2012
Last updated: Dec 31, 2025
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of Colorado

Other names

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Kaiser Permanente Ft. Collins Pharmacy · doing business as
Kaiser Permanente Ft. Collins Pharmacy · 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 1396005336

Kaiser Foundation Health Plan of Colorado's National Provider Identifier is 1396005336, issued on May 24, 2012. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Fort Collins, CO. The record was last updated on Dec 31, 2025.