KILGORE INC (NPI# 1932725033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932725033 |
| Entity Type | Organization |
| Organization Name | KILGORE INC |
| Practice Address |
700 N Providence Rd Columbia MO 65203-4373 |
| Practice Telephone | 5734420194 |
| Mailing Telephone | 5734420194 |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | WILLIAM MORRISSEY (PRESIDENT) |
| Authorized Official Telephone | 5734420914 |
| Is Organization Subpart | Y |
| Parent Organization Name | KILGORE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Kilgore's Medical Pharmacy LTC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710479035 | Kilgore Inc | Pharmacy | 1901 Corporate Pl, Columbia, MO 65202-3700 | 2018-06-01 |
| 1205986213 | Kilgore Inc | Pharmacy | 1608 Chapel Hill Rd, Columbia, MO 65203-5464 | 2007-01-11 |
| 1417901646 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2006-05-20 |
| 1336523745 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2015-07-15 |
| Street Address |
700 N PROVIDENCE RD |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417901646 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2006-05-20 |
| 1336523745 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2015-07-15 |
| 1336404144 | Michael Graziano Mazzola | Pharmacist | 700 N Providence Rd, Columbia, MO 65203-4373 | 2012-07-08 |
| 1275897753 | Heather Rae Ninichuck | Pharmacist | 700 N Providence Rd, Columbia, MO 65203-4373 | 2012-06-28 |
| 1679837165 | Laura Eileen Kingsley | Pharmacist | 700 N Providence Rd, Columbia, MO 65203-4373 | 2012-06-28 |
| 1821352311 | Jameson Tanner Blackford | Pharmacist | 700 N Providence Rd, Columbia, MO 65203-4373 | 2012-06-28 |
| 1962798702 | Catherine M. Rudder | Pharmacist | 700 N Providence Rd, Columbia, MO 65203-4373 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811248412 | Genoa Healthcare, LLC | Pharmacy | 4 Harbison Way, Columbia, SC 29212-3402 | 2012-09-24 |
| 1043571367 | Nayosha LLC | Pharmacy | 8900 Columbia 100 Pkwy Ste H, Columbia, MD 21045-2336 | 2012-06-04 |
| 1649470220 | Partners Pharmacy of Maryland LLC | Pharmacy | 8910 Route 108, Suite C, Columbia, MD 21045-2151 | 2007-07-20 |
| 1245390707 | Longs Closed Door Pharmacy Inc | Pharmacy | 111 Executive Center Dr Ste 222, Columbia, SC 29210-8425 | 2006-12-12 |
| 1710069596 | Palmetto Rx Solutions Inc | Pharmacy | 8 Harbison Way, Columbia, SC 29212-3402 | 2006-10-20 |
| 1396847653 | Interlock Pharmacy Systems, LLC | Pharmacy | 4509 I-70 Drive S.e., Columbia, MO 65201 | 2006-09-05 |
| 1740201706 | Pltcp LLC | Pharmacy | 317 Zimalcrest Dr, Columbia, SC 29210-6833 | 2006-07-22 |
| 1649228909 | Lifehme, Inc. | Pharmacy | 454 Berryhill Rd, Columbia, SC 29210-6447 | 2006-05-05 |
| 1326042888 | Columbia Discount Drugs, Inc | Pharmacy | 1201 Highway 13 N, Columbia, MS 39429-2015 | 2005-06-11 |
| 1336523745 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2015-07-15 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on KILGORE INC.
| 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.