Active NPI
Judson Kilgore, PHARM.D
- Pharmacist
- Greenville, AL
National Provider Identifier
1649875063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20809
- Practice address
- 879 Fort Dale Rd
Greenville, AL 36037-3511 - Phone
- (334) 382-3146
- Fax
- (334) 382-6311
- NPI assigned
- Dec 2, 2020
- Last updated
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1787911 | AL | |
| Pharmacist | 183500000X | 20809 | AL | Primary |
Addresses
Primary practice location
879 Fort Dale Rd
Greenville, AL 36037-3511
Mailing address
879 Fort Dale Rd
Greenville, AL 36037-3511
Phone (334) 382-3146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1787911 | AL | MD | Pharmacist |
| 20809 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama CVS Pharmacy LLC | Past | Accepting new patients | |
| Alabama CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1649875063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "879 FORT DALE RD",
"city": "GREENVILLE",
"state": "AL",
"postal_code": "360373511",
"telephone_number": "334-382-3146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 FORT DALE RD",
"city": "GREENVILLE",
"state": "AL",
"postal_code": "360373511",
"telephone_number": "334-382-3146",
"fax_number": "334-382-6311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "JUDSON",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "1787911",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "20809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.