LOTHA LEE KILGORE (NPI# 1083253876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083253876 |
| Entity Type | Individual |
| Full Name | LOTHA LEE KILGORE |
| Practice Address |
103 Greenhill Blvd Nw Fort Payne AL 35967-3701 |
| Mailing Address |
Po Box 680905 Fort Payne AL 35968-1610 |
| Practice Telephone | 2568456640 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6934 | AL | Pharmacy Service Providers |
| Street Address |
103 GREENHILL BLVD NW |
| City | FORT PAYNE |
| State | AL |
| Zip Code | 35967-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609974633 | Kilgore Express Pharmacy Inc | Pharmacy | 103 Greenhill Blvd Nw, Fort Payne, AL 35967-3701 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073086922 | Ft Payne Careplus, LLC | Clinic/Center | 3000 Gault Ave North, Ft Payne, AL 35967 | 2019-01-03 |
| 1851739023 | Marlon Chad Williamson | Emergency Medicine | 617 Gault Ave N, Fort Payne, AL 35967 | 2013-06-11 |
| 1447552401 | Karole Kelley Ohme | Counselor | 216 Gault Avenue N, Relationship Clinic, Fort Payne, AL 35967 | 2010-11-24 |
| 1720112014 | Dekalb County Mr Board | Case Management | 117 First St Nw, Fort Payne, AL 35967 | 2007-03-16 |
| 1447275490 | Glynn Whiddon Odom | Nurse Anesthetist, Certified Registered | 200 Medical Center Drive, Fort Payne, AL 35967 | 2006-07-12 |
| 1477521698 | Michael Ray Parker | Optometrist | 900 Gault Ave S, Fort Payne, AL 35967 | 2006-03-14 |
| 1144204843 | Dale Ray Stierwalt | Family Medicine | 1618 Gault Ave. N., Fort Payne, AL 35967 | 2005-12-06 |
| 1417951112 | Barton Drake Ibsen | Physical Therapist | 121 Drinkard Dr, Fort Payne, AL 35967 | 2005-06-09 |
| 1407363146 | Tyson Scott Rainer | Nurse Practitioner | 1040 Glenn Blvd Sw, Fort Payne, AL 35967 | 2018-01-03 |
| 1801336599 | Caitlin Kirby | Massage Therapist | 216 Gault Ave N, Fort Payne, AL 35967 | 2017-03-01 |
| Find all providers in zip 35967 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992037592 | Charles Alexander Isbell | Pharmacist | 800 Little Ridge Rd Nw, Fort Payne, AL 35967-8232 | 2010-02-05 |
| 1598915290 | Justin Matthew Garmany | Pharmacist | 1303 Gault Ave N, Fort Payne, AL 35967-3141 | 2008-09-30 |
| 1518422427 | Ashley Elizabeth Nance | Pharmacist | 1916 Gault Ave N, Fort Payne, AL 35967-3418 | 2019-02-05 |
| 1982187993 | Beverly Michelle Feeney | Pharmacist | 2001 Glenn Blvd Sw, Fort Payne, AL 35968-3535 | 2018-09-14 |
| 1467964080 | Luke Mackenzie Sullivan | Pharmacist | 1303 Gault Ave N, Fort Payne, AL 35967-3141 | 2017-11-05 |
| 1740719434 | Andrea Nicole Ashley | Pharmacist | 2001 Glenn Blvd Sw, Fort Payne, AL 35968-3535 | 2017-06-07 |
| 1518335926 | Brittni Hockenberry | Pharmacist | 1303 Gault Ave N, Fort Payne, AL 35967-3141 | 2015-09-02 |
| 1366834673 | Jonathan Hope | Pharmacist | 1613 Glenn Blvd Sw, Fort Payne, AL 35968-3531 | 2015-02-23 |
| 1548669450 | Jessica Adrian Pendergrass | Pharmacist | 1614 Glenn Blvd Sw, Fort Payne, AL 35968-3522 | 2014-08-15 |
| 1952734709 | Haley Cheryl Booker | Pharmacist | 1613 Glenn Blvd Sw, Fort Payne, AL 35968-3531 | 2013-08-15 |
| Find all providers in FORT PAYNE | ||||
| City | FORT PAYNE |
| Zip Code | 35967 |
Please comment or provide details below to improve the information on LOTHA LEE KILGORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.