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KILGORE INC
NPI 1205986213
Pharmacy - Community/Retail Pharmacy in Columbia, MO

Active since January 11, 2007CLIA 26D2001668 · Waiver
1608 CHAPEL HILL RD, COLUMBIA, MO 65203(573) 447-4444(573) 447-4054 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kilgore Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KILGORE INC (NPI 1205986213) is a healthcare organization registered as a community/retail pharmacy in Columbia, Missouri and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 27, 2027 and lists Ann Bromstedt, Owner, as its authorized official.

NPPES Registry Identity

NPI1205986213
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKILGORE INC
Location Address1608 CHAPEL HILL RDColumbia, MO 65203-5464
Mailing Address1608 Chapel Hill RdColumbia, MO 65203-5464 · (573) 447-4444 · Fax (573) 447-4054
Phone(573) 447-4444
Fax(573) 447-4054
Organization SubpartNo
Authorized OfficialAnn BromstedtOwner · (573) 447-4444
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
✔ NPI 1205986213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · PS006548
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1608 CHAPEL HILL RD, Columbia, MO 65203
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Other Identifiers 2

Medicaid604629204MO
Other2632570Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2001668

Kilgore's Medical Pharmacy · Columbia, MO
Active · expires Dec 27, 2027
CLIA Number26D2001668
Laboratory TypePharmacy
Certificate Effective DateDecember 28, 2025
Certificate Expiration DateDecember 27, 2027
Laboratory DirectorMichael Mazzola
Laboratory Phone(573) 447-4444
Laboratory LocationKilgore's Medical Pharmacy1608 Chapel Hill Road, Columbia, MO 65203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
75 services74 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
70 services69 patients

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Kilgore's Medical Pharmacy carries, from the Medicare DMEPOS supplier directory.

Kilgore's Medical Pharmacy

DMEPOS supplier · Columbia, MOOperated by Kilgore Inc
⋮

Does not accept Medicare assignment

Kilgore's Medical Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20635103
Medicare Participant SinceJanuary 1, 1999
Supplier Location1608 Chapel Hill Rd Ste EColumbia, MO 65203
Phone(573) 447-4444
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STEPHANIE NICHOLE MARTINEZ PHARM D
Pharmacist
1608 CHAPEL HILL RD
COLUMBIA, MO 65203
Boone County (573) 447-4444
DONNA R PRESTON R.PH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1608 CHAPEL HILL RD
COLUMBIA, MO 65203
Boone County (573) 447-4444
ANN MARIE BROMSTEDT R.PH.
Pharmacist
1608 CHAPEL HILL RD
COLUMBIA, MO 65203
Boone County (573) 447-4444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kilgore Inc's NPI number?

The NPI number for Kilgore Inc is 1205986213. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Kilgore Inc located?

Kilgore Inc is located at 1608 Chapel Hill Rd, Columbia, MO 65203. The listed phone number is (573) 447-4444.

What is Kilgore Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Kilgore Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Kilgore's Medical Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Kilgore Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2001668) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kilgore Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 other insurers list Kilgore Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kilgore Inc was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.