Kilgore Inc.
Organization Active NPI Community/Retail Pharmacy · Ashland, MO
NPI 1508202888 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1508202888
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- KILGORE INC.
- Practice address
- 109 B Eastside Dr
Ashland, MO 65010 - Phone
- (573) 657-3333
- Fax
- (573) 657-7022
- NPI assigned
- May 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. William Arnold Morrissey, PHARMD
- Title
- President
- Phone
- (573) 442-0194
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 6
Practitioners 5
-
Molly Schooler, PHARM. D
-
Ann Marie Bromstedt, R.PH.
-
Danielle Cox, PHARMD
-
Stephanie Nichole Martinez, PHARM D
-
Donna R Preston, R.PH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051215000057 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 3375564503 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ashland, MO; Columbia, MO |
| O20131010000485 | MO | DME Supplier - Pharmacy | 3375564503 | Practice locations: Ashland, MO |
National Provider Directory
- Tax ID family
- Kilgores Medical Pharma
Locations
109B Eastside Dr
Ashland, MO 65010
Phone (573) 657-3333
1608 Chapel Hill Rd
Columbia, MO 65203
Phone (573) 447-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
109 B Eastside Dr
Ashland, MO 65010
Mailing address
700 N Providence Rd
Columbia, MO 65203-4373
Phone (573) 442-0194
Other names
- Kilgore's Medical Pharmacy Ashland
Other providers in Ashland, MO
- Traci Christine Henry
- Rachael Lynn Hensley
- Elizabeth Diane Hocker
- Joy in Motion LLC
- KDK, Inc
- Callyn Elyse Kinney
- Alicia M Lange
- Emily Marschall
- Midmochiro L.L.C.
- Nathaniel G Murphey
All providers in Ashland, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.