Dillon Companies LLC
Organization Active NPI Community/Retail Pharmacy · Bennett, CO
NPI 1710179296 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1710179296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 698 (CO)
- Legal business name
- DILLON COMPANIES LLC
- Practice address
- 1045 S 1St St
Bennett, CO 80102 - Phone
- (303) 644-5080
- Fax
- (303) 647-4242
- NPI assigned
- Aug 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Jessie Warman
- Title
- Manager of Pharmacy Licensing
- Phone
- (513) 762-1019
Corporate family (same tax ID) 24
Member of 1
Practitioners 2
-
Helen Doan, PHARRMD
-
Debra A Topping, RPH
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2017548 | King Soopers #112 | Certificate of waiver | Dec 12, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| King Soopers Pharmacy |
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 CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040902001249 | CO | Part B Supplier - Mass Immunization (Roster Biller Only) | 5890690135 | This NPI is an additional NPI on the enrollment |
| O20100930066845 | CO | DME Supplier - Pharmacy | 5890690135 | Practice locations: Bennett, CO |
National Provider Directory
- Tax ID family
- Dillon Companies LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 698 | CO | Yes |
Addresses
Primary practice location
1045 S 1St St
Bennett, CO 80102
Mailing address
PO Box 842772
Boston, MA 02284-2772
Phone (513) 762-1019
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36779334 | Medicaid | CO | |
| 1997760 | Other | PK |
Other names
- KING SOOPERS PHARMACY #112
Other providers in Bennett, CO
- Comanche Crossing Counseling, LLC
- Convenient Dental Specialists Bennett PLLC
- Vannesa Elizabeth Cruz
- Aaron Degarmo
- Trina Marie Deleon-Gagne
- Chandelle Joy Dinger
- Lajessie Dinh
- Dream Big Therapy LLC
- John Esquivez
- Katherine Garcia
All providers in Bennett, CO · Community/Retail Pharmacy in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. 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.