Active NPI
Gregory Alexander Kilgore
- Pharmacist
- Lindale, TX
National Provider Identifier
1831816883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44179
- Practice address
- 1404 S Main St
Lindale, TX 75771-6267 - Phone
- (903) 881-5752
- NPI assigned
- Oct 20, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44179 | TX | Primary |
Addresses
Primary practice location
1404 S Main St
Lindale, TX 75771-6267
Mailing address
616 Abbey Rd
Lindale, TX 75771-2455
Phone (832) 326-0636
Other practice location 1
616 Abbey Rd
Lindale, TX 75771-2455
Phone (832) 326-0636
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44179 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1831816883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 ABBEY RD",
"city": "LINDALE",
"state": "TX",
"postal_code": "757712455",
"telephone_number": "832-326-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 S MAIN ST",
"city": "LINDALE",
"state": "TX",
"postal_code": "757716267",
"telephone_number": "903-881-5752"
}
],
"practiceLocations": [
{
"address_1": "616 Abbey Rd",
"address_purpose": "LOCATION",
"city": "Lindale",
"state": "TX",
"postal_code": "757712455",
"country_code": "US",
"telephone_number": "832-326-0636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILGORE",
"first_name": "GREGORY",
"middle_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "44179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lindale, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.