Organization Active NPI

James K Killgore Inc

Doing business as Killgores Pharmacy

  • Community/Retail Pharmacy
  • Haynesville, LA
National Provider Identifier
1477601946
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY.001921-IR Issued in LA
Legal business name
JAMES K KILLGORE INC
Doing business as
Killgores Pharmacy
Practice address
1909 Main St
Haynesville, LA 71038-4907
Phone
(318) 624-1122
Fax
(318) 624-3343
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
James Killgore, RPH
Title
Owner
Phone
(318) 624-1122

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY.001921-IR LA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

1909 Main St
Haynesville, LA 71038-4907

Mailing address

1909 Main St
Haynesville, LA 71038-3706
Phone (318) 624-1122

Other identifiers 2

IdentifierTypeStateIssuer
1255696MedicaidLA
2030861OtherPK

Other names 1

  • KILLGORES PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1477601946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MAIN ST",
            "city": "HAYNESVILLE",
            "state": "LA",
            "postal_code": "710383706",
            "telephone_number": "318-624-1122",
            "fax_number": "318-624-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MAIN ST",
            "city": "HAYNESVILLE",
            "state": "LA",
            "postal_code": "710384907",
            "telephone_number": "318-624-1122",
            "fax_number": "318-624-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K KILLGORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "KILLGORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-624-1122",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PHY.001921-IR",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255696",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030861",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KILLGORES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haynesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.