NPIMap

Organization Active NPI

Kilgore Inc

Doing business as Kilgore's Medical Pharmacy LTC

  • Long Term Care Pharmacy
  • Columbia, MO
National Provider Identifier
1336523745
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KILGORE INC
Doing business as
Kilgore's Medical Pharmacy LTC
Practice address
700 N Providence Rd
Columbia, MO 65203-4373
Phone
(573) 443-8556
Fax
(573) 443-4754
NPI assigned
Jul 15, 2015
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Michael Burns
Title
Operations Manager
Phone
(573) 607-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

700 N Providence Rd
Columbia, MO 65203-4373

Mailing address

700 N Providence Rd
Columbia, MO 65203-4373
Phone (573) 442-0194

Other names 1

  • Kilgore's Medical Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bartals Pharmacy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 N Providence Rd
Ste B
Columbia, MO 65203

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1336523745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N PROVIDENCE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034373",
            "telephone_number": "573-442-0194",
            "fax_number": "573-443-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N PROVIDENCE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034373",
            "telephone_number": "573-443-8556",
            "fax_number": "573-443-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "573-607-1030"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kilgore's Medical Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.