Active NPI
Carol Polles, PHARMD
- Pharmacist
- Denver, CO
National Provider Identifier
1104145259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17311
- Practice address
- 201 University Blvd Ste 105
Denver, CO 80206-4617 - Phone
- (303) 333-2010
- Fax
- (303) 333-2208
- NPI assigned
- May 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17311 | CO | Primary |
Addresses
Primary practice location
201 University Blvd Ste 105
Denver, CO 80206-4617
Mailing address
1927 S Wadsworth Blvd
Lakewood, CO 80227-3271
Phone (303) 985-8797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000186359 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17311 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dillon Companies LLC | Past | Accepting new patients | |
| Dillon Companies LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lakewood, CO
- NPI 1174551261
-
- Community/Retail Pharmacy
- Fountain, CO
- NPI 1194524165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1104145259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1927 S WADSWORTH BLVD",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802273271",
"telephone_number": "303-985-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 UNIVERSITY BLVD STE 105",
"city": "DENVER",
"state": "CO",
"postal_code": "802064617",
"telephone_number": "303-333-2010",
"fax_number": "303-333-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLES",
"first_name": "CAROL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "17311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000186359",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.