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KING SOOPERS PHARMACY
NPI 1144463076
Pharmacy - Community/Retail Pharmacy in Broomfield, CO

Active since April 08, 2009CLIA 06D2098945 · Waiver
2355 W 136TH AVE, BROOMFIELD, CO 80023(303) 920-3050(303) 920-3052 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2018, Jul 19, 2018, Apr 18, 2018 and 1 more (4 updates tracked since 2016).

About King Soopers Pharmacy NPPES

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

KING SOOPERS PHARMACY (NPI 1144463076) is a healthcare organization registered as a community/retail pharmacy in Broomfield, Colorado and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Jessie Warman, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1144463076
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDILLON COMPANIES LLC
Location Address2355 W 136TH AVEBroomfield, CO 80023
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(303) 920-3050
Fax(303) 920-3052
Organization SubpartNo
Authorized OfficialJessie WarmanManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateApril 8, 2009
Last NPPES UpdateAugust 7, 20184 updates tracked since enumeration
✔ NPI 1144463076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CO · 764
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
2355 W 136TH AVE, Broomfield, CO 80023
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Other Names 1

Doing Business AsKing Soopers Pharmacy

Other Identifiers 2

Other2119665Pk
Medicaid52138372CO

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 ›

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 Waiver 06D2098945

King Soopers Pharmacy #118 · Broomfield, CO
Active · expires Jul 16, 2027
CLIA Number06D2098945
Laboratory TypePharmacy
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorKimberly Ward
Laboratory Phone(303) 920-3050
Laboratory LocationKing Soopers Pharmacy #1182355 W 136th St, Broomfield, CO 80023
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
156 services155 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
146 services146 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories King Soopers Pharmacy #118 carries, from the Medicare DMEPOS supplier directory.

King Soopers Pharmacy #118

DMEPOS supplier · Broomfield, COOperated by Dillon Companies LLC
✔

Accepts Medicare assignment

King Soopers Pharmacy #118 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20562821
Medicare Participant SinceOctober 1, 2007
Supplier Location2355 W 136th AveBroomfield, CO 80023
Phone(303) 920-3050
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 12

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

AUDREY JO HAIMES NP-C
Nurse Practitioner (Family)
2355 W 136TH AVE
BROOMFIELD, CO 80023
Adams County (303) 658-9827
GRACE ANN STAEHLIN FNP
Nurse Practitioner (Family)
2355 W 136TH AVE
BROOMFIELD, CO 80023
Adams County (303) 658-9827
RAEANN RAISOR
Nurse Practitioner (Family)
2355 W 136TH AVE
BROOMFIELD, CO 80023
Adams County (303) 658-9827
NATHAN THOMAS BUCCI MSN, APRN, FNP-C
Nurse Practitioner
2355 W 136TH AVE
BROOMFIELD, CO 80023
Adams County (303) 658-9827
DR. ERIC W LIANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2355 W 136TH AVE
BROOMFIELD, CO 80023
Adams County (303) 920-3050
DONNA HUCKABY
Pharmacist
2355 W 136TH AVE
BROOMFIELD, CO 80023
Adams County (303) 920-3050
SOUNANTHA SAYAVONGSA HARNEY
Nurse Practitioner (Family)
2355 W 136TH AVE
BROOMFIELD, CO 80023
Adams County (303) 658-9827
JESSICA J. HINCHCLIFF APRN
Nurse Practitioner (Family)
2355 W 136TH AVE
BROOMFIELD, CO 80023
Adams County (303) 658-9827

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 Dillon Companies LLC's NPI number?

The NPI number for Dillon Companies LLC is 1144463076. It was assigned to this organization in the NPPES registry on April 8, 2009. The provider is doing business as King Soopers Pharmacy.

Where is Dillon Companies LLC located?

Dillon Companies LLC is located at 2355 W 136th Ave, Broomfield, CO 80023. The listed phone number is (303) 920-3050.

What is Dillon Companies LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Dillon Companies LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, King Soopers Pharmacy #118 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Dillon Companies LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2098945) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dillon Companies LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 44 other insurers list Dillon Companies LLC 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 Dillon Companies LLC was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.