KILGORE INC
NPI 1336523745
Pharmacy - Long Term Care Pharmacy in Columbia, MO

Q: What is Kilgore Inc's NPI number?

The NPI number for Kilgore Inc is 1336523745. It was assigned to this organization in the NPPES registry on July 15, 2015. The provider is doing business as Kilgore's Medical Pharmacy LTC.

Q: What is Kilgore Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Q: When was this NPI record last updated?

The NPPES record for Kilgore Inc was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since July 15, 2015CLIA 26D1089922 · Waiver

700 N PROVIDENCE RD, COLUMBIA, MO 65203(573) 443-8556(573) 443-4754 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Jun 2, 2020, Feb 1, 2016 (3 updates tracked since 2016).

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About Kilgore Inc NPPES

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

KILGORE INC (NPI 1336523745), doing business as Kilgore's Medical Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Columbia, Missouri and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Michael Burns, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1336523745

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameKILGORE INC

Location Address700 N PROVIDENCE RDColumbia, MO 65203-4373

Mailing Address700 N Providence RdColumbia, MO 65203-4373 · (573) 442-0194 · Fax (573) 443-4754

Phone(573) 443-8556

Fax(573) 443-4754

Organization SubpartNo

Authorized OfficialMichael BurnsOperations Manager · (573) 607-1030

Enumeration DateJuly 15, 2015

Last NPPES UpdateMay 7, 20253 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1336523745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

700 N PROVIDENCE RD, Columbia, MO 65203

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Other Names 1

Doing Business AsKilgore's Medical Pharmacy Ltc

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 26D1089922

Kilgore's Medical Pharmacy · Columbia, MO

Active · expires Sep 29, 2026

CLIA Number26D1089922

Laboratory TypePharmacy

Certificate Effective DateSeptember 30, 2024

Certificate Expiration DateSeptember 29, 2026

Laboratory DirectorBill Morrissey

Laboratory Phone(573) 442-0194

Laboratory LocationKilgore's Medical Pharmacy700 N Providence, 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.

Medical Equipment Supplier Medicare DMEPOS 6

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

Kilgore Medical Pharmacy

DMEPOS supplier · Columbia, MOOperated by Kilgore Inc

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Does not accept Medicare assignment

Kilgore 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)20634833

Medicare Participant SinceJanuary 1, 1999

Supplier Location700 N Providence RdColumbia, MO 65203

Phone(573) 442-0194

Supplier Specialties

Medical Supply Company Other Certified Other MSC With Prosthetic Personnel Orthotic Personnel Prosthetic Personnel 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

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Breast Prostheses and/or Accessories

Prosthetic bra, Surgical bra

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 14

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

MRS. JANE ELIZABETH MACLELLAN RPH

Pharmacist