Active NPI
Kelly Nicole Kilgore
- Pharmacy Technician
- Gatesville, TX
National Provider Identifier
1144990193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 1207 E Main St
Gatesville, TX 76528-1628 - Phone
- (254) 248-1781
- Fax
- (866) 527-2793
- NPI assigned
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Primary |
Addresses
Primary practice location
1207 E Main St
Gatesville, TX 76528-1628
Mailing address
1207 E Main St
Gatesville, TX 76528-1628
Phone (254) 248-1781
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | connecturl | ||
| CONNECT URL | connecturl |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1144990193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 E MAIN ST",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765281628",
"telephone_number": "254-248-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 E MAIN ST",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765281628",
"telephone_number": "254-248-1781",
"fax_number": "866-527-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "KELLY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "connecturl",
"affiliation": "N",
"address_1": "1207 E Main St",
"city": "Gatesville",
"state": "TX",
"country_code": "US",
"postal_code": "765281628",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "connecturl",
"affiliation": "N",
"address_1": "1207 E Main St",
"city": "Gatesville",
"state": "TX",
"country_code": "US",
"postal_code": "765281628",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gatesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.