NPIMap

Organization Active NPI

Dillon Company

  • Community/Retail Pharmacy
  • Centennial, CO
National Provider Identifier
1871638841
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
79-7 Issued in CO
Legal business name
DILLON COMPANY
Practice address
8200 S Holly St
Centennial, CO 80122-4012
Phone
(303) 779-4242
Fax
(303) 843-6021
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Wendell Mark Woolf, RPH
Title
Director of Pharmacy
Phone
(513) 762-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 79-7 CO Primary

Addresses

Primary practice location

8200 S Holly St
Centennial, CO 80122-4012

Mailing address

8200 S Holly St
Centennial, CO 80122-4012
Phone (303) 779-4242

Other identifiers 3

IdentifierTypeStateIssuer
03485992MedicaidCO
94523OtherMEDICARE MASS IMMUNIZER
0610267OtherNCPDP NUMBER

Other names 1

  • King Soopers Pharmacy 063 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dillon Companies LLC239 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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871638841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S HOLLY ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224012",
            "telephone_number": "303-779-4242",
            "fax_number": "303-843-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S HOLLY ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224012",
            "telephone_number": "303-779-4242",
            "fax_number": "303-843-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLON COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "513-762-4672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CO",
            "license": "79-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03485992",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MASS IMMUNIZER",
            "identifier": "94523",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "0610267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Soopers Pharmacy 063",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.