KING SOOPERS PHARMACY
NPI 1780629451
Pharmacy - Community/Retail Pharmacy in Centennial, CO

Q: What is Dillon Companies LLC's NPI number?

The NPI number for Dillon Companies LLC is 1780629451. It was assigned to this organization in the NPPES registry on June 18, 2006. The provider is doing business as King Soopers Pharmacy.

Q: 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.

Active since June 18, 2006CLIA 06D2017597 · Waiver

19711 E SMOKY HILL RD, CENTENNIAL, CO 80015(303) 400-5204(303) 400-5258 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).

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About King Soopers Pharmacy NPPES

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

KING SOOPERS PHARMACY (NPI 1780629451) is a healthcare organization registered as a community/retail pharmacy in Centennial, Colorado and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Jessie Warman, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1780629451

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameDILLON COMPANIES LLC

Location Address19711 E SMOKY HILL RDCentennial, CO 80015

Mailing AddressPo Box 842772Boston, MA 02284-2772 · (513) 762-1019 · Fax (513) 762-1092

Phone(303) 400-5204

Fax(303) 400-5258

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 1780629451 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 · 19176

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

19711 E SMOKY HILL RD, Centennial, CO 80015

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Other Names 1

Doing Business AsKing Soopers Pharmacy

Other Identifiers 3

Medicaid03003209CO

Other2002784Pk

Medicaid3003209CO

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 06D2017597

King Soopers Pharmacy #16 · Centennial, CO

Active · expires Dec 13, 2026

CLIA Number06D2017597

Laboratory TypePharmacy

Certificate Effective DateDecember 14, 2024

Certificate Expiration DateDecember 13, 2026

Laboratory DirectorKimberly Ward

Laboratory Phone(303) 400-5204

Laboratory LocationKing Soopers Pharmacy #1619711 E Smoky Hill Rd, Centennial, CO 80016

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 4

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.

196 services195 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.

190 services190 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

23 services23 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

23 services23 patients

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Other Providers at the Same Location NPPES 13

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

MARY LOVELL SMITH RPH

Pharmacist