Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaiser Foundation Health Plan of Colorado

Organization Pharmacy · NPI 1790850055

Kaiser Foundation Health Plan of Colorado is a Pharmacy in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

580 Mohawk Dr
Boulder, CO 80303-3712
Phone: (970) 554-5020
Fax: (970) 554-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Managed Care Organization Pharmacy (primary) Taxonomy 3336M0003X · Licence 90000041 (CO)
Pharmacy Taxonomy 333600000X

Record details

NPI number1790850055
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKaiser Foundation Health Plan of Colorado
Authorized official Denese Clark — Regional Administrator · (303) 326-6717
Other names Kaiser Permanente Baseline Pharmacy; Kaiser Permanente Baseline Pharmacy
NPI enumeratedNovember 22, 2006
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address580 Mohawk Dr, Boulder, CO 80303-3712

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