Active NPI
James K Killgore Inc
Doing business as Killgores Pharmacy
- Community/Retail Pharmacy
- Haynesville, LA
National Provider Identifier
1477601946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY.001921-IR
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255696 | Medicaid | LA | |
| 2030861 | Other | PK |
Other names 1
- KILLGORES PHARMACY
National Provider Directory
National Provider DirectoryNPI 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
- Crossroads Rehabilitation, LLC
- David Raines Community Health Center, Inc
- Alice J Fanning, FNP
- Paula Herrington
- Homer Memorial Hospital (Butler-Abshire Medical Clinic)
- Kilgore Pharmacy LLC
- Kilgore Pharmacy LLC (Killgore Pharmacy)
- Jacinda Meadors
- Sandra Killgore Meisler, PH
- Moseley E Mellinger, LPC, NCC
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.