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KING SOOPERS PHARMACY
NPI 1962438150
Pharmacy - Community/Retail Pharmacy in Cheyenne, WY

Active since June 23, 2006CLIA 53D2110354 · Waiver
3702 DELL RANGE BLVD, CHEYENNE, WY 82009(307) 638-0192(307) 638-5070 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2022, Aug 9, 2018, May 16, 2016 (3 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 1962438150) is a healthcare organization registered as a community/retail pharmacy in Cheyenne, Wyoming and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Jessie Warman, Manager Of Pharmacy Licensing, as its authorized official.

NPPES Registry Identity

NPI1962438150
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDILLON COMPANIES LLC
Location Address3702 DELL RANGE BLVDCheyenne, WY 82009
Mailing AddressPo Box 2918Hutchinson, KS 67504-2918 · (513) 762-1019 · Fax (513) 762-1092
Phone(307) 638-0192
Fax(307) 638-5070
Organization SubpartNo
Authorized OfficialJessie WarmanManager Of Pharmacy Licensing · (513) 762-1019
Enumeration DateJune 23, 2006
Last NPPES UpdateNovember 15, 20223 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1962438150 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 WY · 5203699
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
3702 DELL RANGE BLVD, Cheyenne, WY 82009
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Other Names 1

Doing Business AsKing Soopers Pharmacy

Other Identifiers 2

Other2111625Pk
Medicaid115707800WY

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 53D2110354

King Soopers Pharmacy #79 · Cheyenne, WY
Active · expires Mar 13, 2028
CLIA Number53D2110354
Laboratory TypePharmacy
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorKimberly Ward
Laboratory Phone(307) 638-0192
Laboratory LocationKing Soopers Pharmacy #793702 Dell Range Blvd, Cheyenne, WY 82001
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.
350 services346 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.
327 services323 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.
36 services36 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.
36 services36 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories King Soopers #79 carries, from the Medicare DMEPOS supplier directory.

King Soopers #79

DMEPOS supplier · Cheyenne, WYOperated by Dillon Companies LLC
✔

Accepts Medicare assignment

King Soopers #79 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)20562341
Medicare Participant SinceOctober 1, 2007
Supplier Location3702 Dell Range BlvdCheyenne, WY 82009
Phone(307) 638-0192
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 5

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

CHERYL W LOVAS RPH
Pharmacist
3702 DELL RANGE BLVD
CHEYENNE, WY 82009
Laramie County (307) 638-0192
DR. NICHOLE MARIE YOST PHARM D
Pharmacist
3702 DELL RANGE BLVD
CHEYENNE, WY 82009
Laramie County (307) 638-0192
MELINDA CARROLL PHARMD
Pharmacist
3702 DELL RANGE BLVD
CHEYENNE, WY 82009
Laramie County (307) 638-0192
TRISTIN CLOWARD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3702 DELL RANGE BLVD
CHEYENNE, WY 82009
Laramie County (307) 638-0192
AMY MCHENRY
Pharmacist
3702 DELL RANGE BLVD
CHEYENNE, WY 82009
Laramie County (307) 638-0014

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 1962438150. It was assigned to this organization in the NPPES registry on June 23, 2006. The provider is doing business as King Soopers Pharmacy.

Where is Dillon Companies LLC located?

Dillon Companies LLC is located at 3702 Dell Range Blvd, Cheyenne, WY 82009. The listed phone number is (307) 638-0192.

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 #79 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 53D2110354) is associated with this NPI, valid through March 13, 2028. 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 November 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.