Kilgore Express Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

112680 Issued in AL

Legal business name

KILGORE EXPRESS PHARMACY INC

Practice address

103 Greenhill Blvd NW
Fort Payne, AL 35967-3701

Phone

(256) 845-6640

Fax

(256) 845-9796

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Lotha Kilgore, RPH.

Title

Owner

Phone

(256) 845-6640

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• KILGORE EXPRESS PHARMACY Doing business as

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Kilgore Express Pharmacy Inc

  • Community/Retail Pharmacy
  • Stevenson, AL
  • NPI 1497769491

  Member Of

  NPD member
• Kilgore Express Pharmcy Inc

  • Community/Retail Pharmacy
  • Gurley, AL
  • NPI 1356526974

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577145600000",
    "number": "1609974633",
    "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": "256-845-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GREENHILL BLVD NW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673701",
            "telephone_number": "256-845-6640",
            "fax_number": "256-845-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGORE EXPRESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "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",
        "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": "AL",
            "license": "112680",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995543",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935092",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003635",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KILGORE EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luiz Juan, CRNP
• K-VA-T Food Stores Inc
• Kelseys Pharmacy Inc
• Kelli Kidd, MS,CCC-SLP
• Kidemics, LLC
• Kilgore Express Pharmacy Inc
• Lotha Lee Kilgore
• Martha Lynne Kilgore, L.P.C.
• Caitlin Kirby, LMT, CKTP, LPTA
• Sheila Knox, M.ED.,CCC-SLP

• All providers in Fort Payne, AL
• Community/Retail Pharmacy in Alabama

• 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.