NPIMap

Organization Active NPI

Kilgore Express Pharmcy Inc

Doing business as Kilgore Express Pharmacy

  • Community/Retail Pharmacy
  • Gurley, AL
National Provider Identifier
1356526974
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
111989 Issued in AL
Legal business name
KILGORE EXPRESS PHARMCY INC
Doing business as
Kilgore Express Pharmacy
Practice address
5999 Highway 72 E
Gurley, AL 35748-9460
Phone
(256) 776-4430
Fax
(256) 776-4523
NPI assigned
Jan 2, 2008
Last updated
Dec 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Authorized official

Name
Lotha KilgoreNPI 1083253876
Title
Owner
Phone
(256) 845-6640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 111989 AL Primary

Addresses

Primary practice location

5999 Highway 72 E
Gurley, AL 35748-9460

Mailing address

PO Box 680905
Fort Payne, AL 35968-1610
Phone (256) 845-6640

Other identifiers 1

IdentifierTypeStateIssuer
0134988OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KILGORE EXPRESS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1356526974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680905",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359681610",
            "telephone_number": "256-845-6640",
            "fax_number": "256-845-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 HIGHWAY 72 E",
            "city": "GURLEY",
            "state": "AL",
            "postal_code": "357489460",
            "telephone_number": "256-776-4430",
            "fax_number": "256-776-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGORE EXPRESS PHARMCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "LOTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-845-6640"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "111989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0134988",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KILGORE EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.