Dillon Companies LLC
Organization Active NPI Community/Retail Pharmacy · Aurora, CO
NPI 1770528440 · NPPES record last updated Aug 9, 2018
Key facts
- NPI
- 1770528440
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 70000059 (CO)
- Legal business name
- DILLON COMPANIES LLC
- Practice address
- 6412 S Parker Rd
Aurora, CO 80016 - Phone
- (303) 627-6111
- Fax
- (303) 627-9475
- NPI assigned
- Jun 18, 2006
- 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 16
-
Laura Boe, PHARMD
-
Denise Creola, RPH
-
Michelle Fombon, PHARM D
-
Frances Lynn Haynes, RPH
-
Connie Han Lee, RPH
-
Leann Ta Nguyen, PHARMACIST
-
Maryann Nine, RPH
-
Ward Lynn Swanson, PHARMACIST
-
Marlene Rose Zember, RPH
-
Kristin Anne Randall, PHARM.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kings Soopers Pharmacy #084 |
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 |
| O20100930038023 | CO | DME Supplier - Pharmacy |
5890690135 | Practice locations: Aurora, CO |
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 | 70000059 | CO | Yes |
Addresses
Primary practice location
6412 S Parker Rd
Aurora, CO 80016
Mailing address
PO Box 842772
Boston, MA 02284-2772
Phone (513) 762-1019
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61185523 | Medicaid | CO | |
| 2003311 | Other | PK |
Other names
- KING SOOPERS PHARMACY
Other providers in Aurora, CO
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Dillon Companies LLC
- Brian J Dillon
- Brooke Dillon
- Cristen Michele Dillow
All providers in Aurora, 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 Aug 9, 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.