KAISER FOUNDATION HEALTH PLAN OF COLORADO
NPI 1417846536
Pharmacy - Managed Care Organization Pharmacy in Pueblo, CO

Active since July 02, 2025CLIA 06D2002880 · Certificate of Compliance
3107 BONAVENTURE COURT, PUEBLO, CO 81008(303) 338-4545 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kaiser Foundation Health Plan Of Colorado NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAISER FOUNDATION HEALTH PLAN OF COLORADO (NPI 1417846536), doing business as Kaiser Permanente Pueblo North Pharmacy, is a healthcare organization registered as a managed care organization pharmacy in Pueblo, Colorado and active in the NPI registry since July 2025. The organization holds a CLIA Certificate of Compliance certificate valid through June 13, 2027 and lists Leah K Reed, Sr. Manager Pharmacy Operations, as its authorized official.

NPPES Registry Identity

NPI1417846536
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF COLORADO
Location Address3107 BONAVENTURE COURTPueblo, CO 81008
Mailing Address10350 E Dakota AveDenver, CO 80247-1314 · (303) 338-4545
Organization SubpartYes
Authorized OfficialLeah K ReedSr. Manager Pharmacy Operations · (303) 739-3623
Enumeration DateJuly 2, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1417846536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code3336M0003X
Definition
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.
3107 BONAVENTURE COURT, Pueblo, CO 81008

Other Names 1

Doing Business AsKaiser Permanente Pueblo North Pharmacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 06D2002880

Kaiser Foundation Health Plan - Pueblo North Lab · Pueblo, CO
Active · expires Jun 13, 2027
CLIA Number06D2002880
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorDr. Audrey Sato
Laboratory Phone(719) 595-5340
Laboratory LocationKaiser Foundation Health Plan - Pueblo North Lab3107 Bonaventure Ct, Pueblo, CO 81008
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
3107 BONAVENTURE COURT
PUEBLO, CO 81008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaiser Foundation Health Plan Of Colorado's NPI number?

The NPI number for Kaiser Foundation Health Plan Of Colorado is 1417846536. It was assigned to this organization in the NPPES registry on July 2, 2025. The provider is doing business as Kaiser Permanente Pueblo North Pharmacy.

Where is Kaiser Foundation Health Plan Of Colorado located?

Kaiser Foundation Health Plan Of Colorado is located at 3107 Bonaventure Court, Pueblo, CO 81008. The listed phone number is (303) 338-4545.

What is Kaiser Foundation Health Plan Of Colorado's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Managed Care Organization Pharmacy, with taxonomy code 3336M0003X.

Does Kaiser Foundation Health Plan Of Colorado hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 06D2002880) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of Colorado was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.