OrganizationActive
Kaiser Foundation Healthplan of Colorado
NPI 1083900831 · Managed Care Organization Pharmacy · Castle Rock, CO
Provider details
- NPI number
- 1083900831
- Entity type
- Organization
- Primary specialty
- Managed Care Organization PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Denese Clark, Regional Administrator(303) 326-6717
- License
- 827 (CO)
Specialties & taxonomies
Suppliers
Practice location
4318 Trail Boss Dr
Castle Rock, CO 80104-7512
Phone: (303) 814-4160
Fax: (303) 814-4170
Approximate (ZIP-level) locationGet directions
Mailing address
4318 Trail Boss Dr
Castle Rock, CO 80104-7512
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Castle Rock Pharmacy
Registry dates
- Enumerated
- 2011-06-21
- Last updated
- 2016-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.