Dillon Companies LLC
Organization Active NPI Community/Retail Pharmacy · Wichita, KS
NPI 1205877644 · NPPES record last updated Aug 6, 2018
Key facts
- NPI
- 1205877644
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 9407 (KS)
- Legal business name
- DILLON COMPANIES LLC
- Practice address
- 4747 S Broadway Ave
Wichita, KS 67216 - Phone
- (316) 524-4228
- Fax
- (316) 529-9020
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Jessie Warman
- Title
- Manager of Pharmacy Licensing
- Phone
- (513) 762-1019
Corporate family (same tax ID) 20
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Dillion Pharmacy #33 |
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 assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041015000839 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 5890690135 | This NPI is an additional NPI on the enrollment |
| O20100930013029 | KS | DME Supplier - Pharmacy |
5890690135 | Practice locations: Wichita, KS |
National Provider Directory
- Tax ID family
- Dillon Companies LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 9407 | KS | Yes |
Addresses
Primary practice location
4747 S Broadway Ave
Wichita, KS 67216
Mailing address
PO Box 842772
Boston, MA 02284-2772
Phone (513) 762-1019
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2031981 | Other | PK | |
| 100431710A | Medicaid | KS |
Other names
- DILLON PHARMACY
Other providers in Wichita, KS
- James Kendall Dillehay II
- Angela D Dilling
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
All providers in Wichita, KS · Community/Retail Pharmacy in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.