JAMES K KILLGORE INC (NPI# 1477601946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477601946 |
| Entity Type | Organization |
| Organization Name | JAMES K KILLGORE INC |
| Other Organization Name | KILLGORES PHARMACY |
| Practice Address |
1909 Main St Haynesville LA 71038-4907 |
| Mailing Address |
1909 Main St Haynesville LA 71038-3706 |
| Practice Telephone | 3186241122 |
| Practice Fax Number | 3186243343 |
| Mailing Telephone | 3186241122 |
| Mailing Fax Number | 3186243343 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | JAMES KILLGORE (OWNER) |
| Authorized Official Telephone | 3186241122 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.001921-IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2030861 | 01 | |
| LA | 1255696 | 05 |
| Other Name | Type Code |
|---|---|
| KILLGORES PHARMACY | Doing Business As Name - Organization |
| Street Address |
1909 MAIN ST |
| City | HAYNESVILLE |
| State | LA |
| Zip Code | 71038-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104197250 | Sandra Killgore Meisler | Pharmacist | 1909 Main St, Haynesville, LA 71038-4907 | 2012-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396848834 | Eddy Waller Sherman II | Dentist | 9915 Hwy 79, Haynesville, LA 71038 | 2006-09-07 |
| 1801388921 | Dan Thomas Ware | Pharmacist | 1866 Main St, Haynesville, LA 71038-4904 | 2018-06-04 |
| 1538288113 | Ted S Pharmacy LLC | Pharmacy | 1866 Main St, Haynesville, LA 71038-4904 | 2007-03-28 |
| 1366582983 | Ted's Pharmacy | Pharmacist | 1866 Main St, Haynesville, LA 71038-4904 | 2007-02-07 |
| 1902114473 | David M Beaird | Pharmacist | 1863 Main St, Haynesville, LA 71038-4905 | 2010-09-18 |
| 1639101678 | Freds Stores of Tennessee Inc | Pharmacy | 9720 Highway 79, Haynesville, LA 71038-4905 | 2006-07-07 |
| 1912903964 | David Raines Community Health Center, Inc | Clinic/Center | 1953 Main St, Haynesville, LA 71038-4907 | 2005-06-23 |
| 1275165862 | Jacinda Meadors | Clinic/Center | 1059 Mcdonald St, Haynesville, LA 71038-5235 | 2020-02-11 |
| 1689666489 | Tri-state Health Services of Cenla, LLC | Skilled Nursing Facility | 1745 Bailey Ave, Haynesville, LA 71038-5411 | 2005-08-17 |
| 1700091212 | Crossroads Rehabilitation, LLC | Skilled Nursing Facility | 1745 Bailey Ave, Haynesville, LA 71038-5411 | 2007-05-10 |
| Find all providers in zip 71038 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1740890144 | Downtown Drugs Inc | Pharmacy | 338 N Vermont St, Covington, LA 70433-2812 | 2020-07-31 |
| 1053929703 | Viallon Drug Co of Donaldsonville | Pharmacy | 309 Marchand Dr, Donaldsonville, LA 70346-3242 | 2020-07-20 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | HAYNESVILLE |
| Zip Code | 71038 |
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| 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.