Organization Active NPI

Dillon Companies LLC

Doing business as King Soopers Pharmacy #153

  • Community/Retail Pharmacy
  • Fountain, CO
National Provider Identifier
1194524165
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DILLON COMPANIES LLC
Doing business as
King Soopers Pharmacy #153
Practice address
6255 Sawcut PT
Fountain, CO 80817-1867
Phone
(303) 778-3398
NPI assigned
Mar 11, 2025
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber Nicole Williams
Title
Licensing Manager
Phone
(513) 762-1090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6255 Sawcut PT
Fountain, CO 80817-1867

Mailing address

PO Box 830242
Philadelphia, PA 19182-0352

Other names 1

  • King Soopers Pharmacy #153 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040902001249 CO Part B Supplier - Mass Immunization (Roster Biller Only) 5890690135 This NPI is an additional NPI on the enrollment
O20250907000224 CO DME Supplier - Pharmacy 5890690135 Practice locations: Fountain, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
King Soopers #1536255 Sawcut PT, Fountain, CO 80817-1867(719) 359-9080 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Nebulizer Equipment a… Accepts assignmentParticipating since Oct 1, 2007

National Provider Directory

National Provider Directory
Tax ID family
Kroger240 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 267)

12350 W 64th Ave
Arvada, CO 80004
Phone (303) 422-1476

12350 W 64th Ave
#45
Arvada, CO 80004
Phone (303) 422-1476

14967 Candelas Pkwy
#137
Arvada, CO 80007
Phone (720) 907-6788

15200 W 64th Ave
Arvada, CO 80007
Phone (720) 898-4232

15200 W 64th Ave
#85
Arvada, CO 80007
Phone (720) 898-4232

6350 Sheridan Blvd
Arvada, CO 80003
Phone (303) 428-1992

6350 Sheridan Blvd
#3
Arvada, CO 80003
Phone (303) 428-1992

8031 Wadsworth Blvd
Arvada, CO 80003
Phone (303) 420-1377

8031 Wadsworth Blvd
#36
Arvada, CO 80003
Phone (303) 420-1377

8055 Sheridan Blvd
Arvada, CO 80003
Phone (303) 487-5325

8055 Sheridan Blvd
#121
Arvada, CO 80003
Phone (303) 487-5325

9731 W 58th Ave
#22
Arvada, CO 80002
Phone (303) 421-1200

685 E Cooper Ave
Ste A112
Aspen, CO 81611
Phone (303) 778-3398

1155 S Havana St
#30
Aurora, CO 80012
Phone (303) 755-1246

15109 E Colfax Ave
#52
Aurora, CO 80011
Phone (303) 343-3170

15250 E Mississippi Ave
#10
Aurora, CO 80012
Phone (303) 671-8701

17000 E Iliff Ave
Aurora, CO 80013
Phone (303) 752-4777

17000 E Iliff Ave
#49
Aurora, CO 80013
Phone (303) 752-4777

18211 E Hampden Ave
#128
Aurora, CO 80013
Phone (303) 627-3301

25701 E Smoky Hill Rd
#107
Aurora, CO 80016
Phone (303) 615-2860

3190 S Parker Rd
#39
Aurora, CO 80014
Phone (303) 750-2452

4271 S Buckley Rd
Aurora, CO 80013
Phone (303) 680-8690

4271 S Buckley Rd
#69
Aurora, CO 80013
Phone (303) 680-8690

6412 S Parker Rd
#84
Aurora, CO 80016
Phone (303) 627-6111

655 Peoria St
Aurora, CO 80011
Phone (303) 364-9196

Practitioners & affiliated clinicians

Practitioners 866

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 866

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1194524165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830242",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 SAWCUT PT",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171867",
            "telephone_number": "303-778-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLON COMPANIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSING MANAGER",
        "authorized_official_telephone_number": "513-762-1090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Soopers Pharmacy #153",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.