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KAISER FOUNDATION HEALTH PLAN OF COLORADO
NPI 1790850055
Pharmacy - Managed Care Organization Pharmacy in Boulder, CO

Active since November 22, 2006
580 MOHAWK DR, BOULDER, CO 80303(970) 554-5020(970) 554-5010 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2025, May 24, 2021, Aug 15, 2016 and 1 more (4 updates tracked since 2015).

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 1790850055), doing business as Kaiser Permanente Baseline Pharmacy, is a healthcare organization registered as a managed care organization pharmacy in Boulder, Colorado and active in the NPI registry since November 2006. The organization lists Denese Clark, Regional Administrator, as its authorized official.

NPPES Registry Identity

NPI1790850055
Entity TypeOrganization
Primary Taxonomy3336M0003X
Legal Business NameKAISER FOUNDATION HEALTH PLAN OF COLORADO
Location Address580 MOHAWK DRBoulder, CO 80303-3712
Mailing Address580 Mohawk DrBoulder, CO 80303-3712 · (970) 554-5020 · Fax (970) 554-5010
Phone(970) 554-5020
Fax(970) 554-5010
Organization SubpartYes
Authorized OfficialDenese ClarkRegional Administrator · (303) 326-6717
Enumeration DateNovember 22, 2006
Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1790850055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Managed Care Organization PharmacySuppliers
Taxonomy Code3336M0003X
License✔ Licensed in CO · 90000041
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.

Also ListedPharmacyTaxonomy 333600000X
580 MOHAWK DR, Boulder, CO 80303
Open in Google Maps ↗

Other Names 1

Doing Business AsKaiser Permanente Baseline Pharmacy

Other Identifiers 1

Other2003277Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

JANICE M MICHON
Registered Nurse
580 MOHAWK DR
BOULDER, CO 80303
Boulder County (303) 743-5855
KAREN C CARTEN-OROSEL NP
Obstetrics & Gynecology
580 MOHAWK DR
BOULDER, CO 80303
Boulder County (303) 338-4545
RONALD S PIERCE OD
Optometrist
580 MOHAWK DR
BOULDER, CO 80303
Boulder County (303) 338-4545
MARY J HARPER
Registered Nurse
580 MOHAWK DR
BOULDER, CO 80303
Boulder County (303) 506-7147
KATHLEEN M CALLANAN
Nurse Practitioner (Obstetrics & Gynecology)
580 MOHAWK DR
BOULDER, CO 80303
Boulder County (303) 239-7294
MS. MARTHA E MONTOUR RN
Internal Medicine
580 MOHAWK DR
BOULDER, CO 80303
Boulder County (303) 440-2690
JANET F WHITTET
Registered Nurse (Pediatrics)
580 MOHAWK DR
BOULDER, CO 80303
Boulder County (303) 554-8102
DR. LISA F HALPERIN M.D.
Pediatrics
580 MOHAWK DR
BOULDER, CO 80303
Boulder County (303) 338-4545

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 1790850055. It was assigned to this organization in the NPPES registry on November 22, 2006. The provider is doing business as Kaiser Permanente Baseline Pharmacy.

Where is Kaiser Foundation Health Plan Of Colorado located?

Kaiser Foundation Health Plan Of Colorado is located at 580 Mohawk Dr, Boulder, CO 80303. The listed phone number is (970) 554-5020.

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.

What insurance does Kaiser Foundation Health Plan Of Colorado accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 24 other insurers list Kaiser Foundation Health Plan Of Colorado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaiser Foundation Health Plan Of Colorado was last updated on December 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.