Dillon Companies LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5203699 Issued in WY

Legal business name

DILLON COMPANIES LLC

Doing business as

King Soopers Pharmacy

Practice address

3702 Dell Range Blvd
Cheyenne, WY 82009

Phone

(307) 638-0192

Fax

(307) 638-5070

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Jessie Warman

Title

Manager of Pharmacy Licensing

Phone

(513) 762-1019

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• KING SOOPERS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CO, WY3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dillon Companies LLC

  dba City Market Pharmacy

  • Community/Retail Pharmacy
  • Rawlins, WY
  • NPI 1053347245

  O20071106000225

  Same enrollment

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

Tax ID family

King Soopers240 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

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

• Dillon Companies LLC

  dba City Market Pharmacy

  • Community/Retail Pharmacy
  • Rawlins, WY
  • NPI 1053347245
  NPD tax ID

Locations

Practitioners 6

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.

• Melinda Carroll, PHARMD

  • Pharmacist
  • Cheyenne, WY
  • NPI 1477994606
  NPD (past)
• Tristin Cloward

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Cheyenne, WY
  • NPI 1689339129
  NPD (past)
• Cheryl W Lovas, RPH

  • Pharmacist
  • Cheyenne, WY
  • NPI 1043654494
  NPD (past)
• Amy McHenry

  • Pharmacist
  • Cheyenne, WY
  • NPI 1992137186
  NPD (past)
• Nichole Marie Yost, PHARM D

  • Pharmacist
  • Cheyenne, WY
  • NPI 1174563290
  NPD (past)
• Cole Ryan Teare, PHARMD

  • Pharmacist
  • Longmont, CO
  • NPI 1235573056
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1962438150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2918",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675042918",
            "telephone_number": "513-762-1019",
            "fax_number": "513-762-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82009",
            "telephone_number": "307-638-0192",
            "fax_number": "307-638-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLON COMPANIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "WARMAN",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "MANAGER OF PHARMACY LICENSING",
        "authorized_official_telephone_number": "513-762-1019"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WY",
            "license": "5203699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111625",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115707800",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KING SOOPERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KING SOOPERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Dickerson, M.S.C.E., J.D.
• Eliza Dickinson
• Karla Dieters, MSW LCSW
• Digestive Health Associates of Cheyenne
• Jenny Dillingham
• Andrew Dillon
• Joseph Dillon
• Leayn June Dillon, D.O.
• Mary Elizabeth Dilworth, LCSW
• Robin Kelly Dinkelman

• Community/Retail Pharmacy in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Community/Retail Pharmacy in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.