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KING SOOPERS
NPI 1346795903
Pharmacist in Denver, CO

Active since August 23, 2016

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About King Soopers NPPES

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

KING SOOPERS (NPI 1346795903) is a healthcare organization registered as a pharmacist in Denver, Colorado and active in the NPI registry since August 2016. The organization lists Iyobosa Sandra Osa-edoh, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1346795903
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameKING SOOPERS
Location Address65 TEJON STDenver, CO 80223-1221
Mailing Address65 Tejon StDenver, CO 80223-1221 · (314) 757-4031
Phone(314) 757-4031
Organization SubpartNo
Authorized OfficialIyobosa Sandra Osa-edohPharmacist · (314) 757-4031
Enumeration DateAugust 23, 2016
✔ NPI 1346795903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CO · 0021435
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
65 TEJON ST, Denver, CO 80223
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories King Soopers Pharmacy #024 carries, from the Medicare DMEPOS supplier directory.

King Soopers Pharmacy #024

DMEPOS supplier · Thornton, COOperated by Dillon Companies LLC
✔

Accepts Medicare assignment

King Soopers Pharmacy #024 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)20562077
Medicare Participant SinceOctober 1, 2007
Supplier Location750 E 104th AveThornton, CO 80229
Phone(303) 452-8661
Supplier Specialties
Pharmacy Grocery Store

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 20

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

DR. JEFF MEADOR
Pharmacist
65 TEJON ST
DENVER, CO 80223
Denver County (303) 778-3304
MY THANH NGUYEN PHARMD
Pharmacist
65 TEJON ST
DENVER, CO 80223
Denver County (303) 778-3100
DR. CHAD SCHUSTER PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
65 TEJON ST
DENVER, CO 80223
Denver County (602) 320-4310
ROMMEL FONTANILLA
Pharmacist
65 TEJON ST
DENVER, CO 80223
Denver County (303) 778-3100
MACKENZIE MCCALL PHARMD
Pharmacist
65 TEJON ST
DENVER, CO 80223
Denver County (303) 778-3100
ELISSA UHL PHARMD
Pharmacist
65 TEJON ST
DENVER, CO 80223
Denver County (303) 778-3398
CAMERON PHILLIPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
65 TEJON ST
DENVER, CO 80223
Denver County (661) 607-6699
MARLA SUE FRAWNER R.PH.
Pharmacist
65 TEJON ST
DENVER, CO 80223
Denver County (303) 778-3327

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 King Soopers's NPI number?

The NPI number for King Soopers is 1346795903. It was assigned to this organization in the NPPES registry on August 23, 2016.

Where is King Soopers located?

King Soopers is located at 65 Tejon St, Denver, CO 80223. The listed phone number is (314) 757-4031.

What is King Soopers's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Does King Soopers accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, King Soopers Pharmacy #024 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for King Soopers was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.