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KING SOOPERS PHARMACY
NPI 1255683868
Pharmacy - Community/Retail Pharmacy in Englewood, CO

Active since October 05, 2012CLIA 06D2055107 · Waiver
3495 S UNIVERSITY BLVD, ENGLEWOOD, CO 80113(303) 806-2770(303) 806-2775 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2018, Jul 19, 2018, Nov 14, 2016 and 2 more (5 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 1255683868) is a healthcare organization registered as a community/retail pharmacy in Englewood, Colorado and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through March 4, 2027 and lists Jessie Warman, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1255683868
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDILLON COMPANIES LLC
Location Address3495 S UNIVERSITY BLVDEnglewood, CO 80113
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(303) 806-2770
Fax(303) 806-2775
Organization SubpartNo
Authorized OfficialJessie WarmanManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateOctober 5, 2012
Last NPPES UpdateAugust 8, 20185 updates tracked since enumeration
✔ NPI 1255683868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CO · 168-16
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
3495 S UNIVERSITY BLVD, Englewood, CO 80113
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Other Names 1

Doing Business AsKing Soopers Pharmacy

Other Identifiers 2

Other2137309Pk
Medicaid15050556CO

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 06D2055107

King Soopers Pharmacy #111 · Englewood, CO
Active · expires Mar 4, 2027
CLIA Number06D2055107
Laboratory TypePharmacy
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorKimberly Ward
Laboratory Phone(303) 806-2770
Laboratory LocationKing Soopers Pharmacy #1113495 S University Blvd, Englewood, CO 80113
CLIA data matches this NPI record on: Address 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.
108 services107 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.
107 services107 patients

Other Providers at the Same Location NPPES

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

HOANG VO
Pharmacist
3495 S UNIVERSITY BLVD
ENGLEWOOD, CO 80113
Arapahoe County (303) 806-2770

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 1255683868. It was assigned to this organization in the NPPES registry on October 5, 2012. The provider is doing business as King Soopers Pharmacy.

Where is Dillon Companies LLC located?

Dillon Companies LLC is located at 3495 S University Blvd, Englewood, CO 80113. The listed phone number is (303) 806-2770.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2055107) is associated with this NPI, valid through March 4, 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 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.