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KING SOOPERS PHARMACY
NPI 1407891179
Pharmacy - Community/Retail Pharmacy in Castle Rock, CO

Active since June 18, 2006CLIA 06D2039734 · Waiver
100 FOUNDERS PKWY, CASTLE ROCK, CO 80104(303) 663-0768(303) 663-2502 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2018, May 16, 2016 (2 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 1407891179) is a healthcare organization registered as a community/retail pharmacy in Castle Rock, Colorado and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Jessie Warman, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1407891179
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDILLON COMPANIES LLC
Location Address100 FOUNDERS PKWYCastle Rock, CO 80104
Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092
Phone(303) 663-0768
Fax(303) 663-2502
Organization SubpartNo
Authorized OfficialJessie WarmanManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJune 18, 2006
Last NPPES UpdateAugust 9, 20182 updates tracked since enumeration
✔ NPI 1407891179 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 · 190000010
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
100 FOUNDERS PKWY, Castle Rock, CO 80104
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Other Names 1

Doing Business AsKing Soopers Pharmacy

Other Identifiers 3

Medicaid3019106CO
Medicaid03019106CO
Other2002797Pk

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 06D2039734

King Soopers Pharmacy #132 · Castle Rock, CO
Active · expires Jul 1, 2027
CLIA Number06D2039734
Laboratory TypeRetail Pharmacy
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorKimberly S. Ward
Laboratory Phone(303) 658-9817
Laboratory LocationKing Soopers Pharmacy #132750 N Ridge Rd Attn Pharmacist In Charge, Castle Rock, CO 80104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
208 services207 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.
199 services199 patients
Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use 91304
The COVID-19 vaccine you'll receive is designed to protect against the virus. It contains tiny, harmless pieces of the virus's spike protein. These trigger your immune system to build a defense. The vaccine also includes a saponin-based adjuvant to enhance this response. It's given as a 0.5ml injection into a muscle.
13 services13 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.

JOSEPH ROBERT WILHELM
Pharmacist
100 FOUNDERS PKWY
CASTLE ROCK, CO 80104
Douglas County (303) 663-0768

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 1407891179. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider is doing business as King Soopers Pharmacy.

Where is Dillon Companies LLC located?

Dillon Companies LLC is located at 100 Founders Pkwy, Castle Rock, CO 80104. The listed phone number is (303) 663-0768.

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 06D2039734) is associated with this NPI, valid through July 1, 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 43 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 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.