OrganizationActive
Kaiser Foundation Health Plan of Colorado
NPI 1174698435 · Managed Care Organization Pharmacy · Longmont, CO
Provider details
- NPI number
- 1174698435
- Entity type
- Organization
- Primary specialty
- Managed Care Organization PharmacySuppliers
- Parent organization
- Kaiser Foundation Health Plan of Colorado
- Organization subpart
- Yes
- Authorized official
- Denese Clark, Regional Administrator(303) 326-6717
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2345 Bent Way
Longmont, CO 80503-7614
Phone: (303) 678-3300
Fax: (303) 678-3302
Street-level locationGet directions
Mailing address
2345 Bent Way
Longmont, CO 80503-7614
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Longmont Pharmacy
- Doing business as
- Kaiser Permanente Longmont Pharmacy
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2025-12-31
- Certified
- 2025-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.