NPIMap

Organization Active NPI

Kilgore Express Pharmcy Inc

  • Community/Retail Pharmacy
  • Collinsville, AL
National Provider Identifier
1952594004
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112980 Issued in AL
Legal business name
KILGORE EXPRESS PHARMCY INC
Doing business as
KILGORE EXPRESS PHARMACY
Practice address
588 S Valley Ave
Collinsville, AL 35961-3535
Phone
(256) 524-2981
Fax
(256) 524-2987
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 112980 AL Primary

Addresses

Primary practice location

588 S Valley Ave
Collinsville, AL 35961-3535

Mailing address

PO Box 680905
Fort Payne, AL 35968-1610
Phone (256) 845-6640

Other identifiers 1

IdentifierTypeStateIssuer
0134700OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KILGORE EXPRESS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kilgore Express Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

588 S Valley Ave
Collinsville, AL 35961
Phone (256) 524-2981

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1952594004",
    "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": "588 S VALLEY AVE",
            "city": "COLLINSVILLE",
            "state": "AL",
            "postal_code": "359613535",
            "telephone_number": "256-524-2981",
            "fax_number": "256-524-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGORE EXPRESS PHARMCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2011-05-23",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0134700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KILGORE EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collinsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.