KILGORE PHARMACY LLC
NPI 1902670243
Pharmacy - Long Term Care Pharmacy in Haynesville, LA

Active since November 07, 2023
1909 MAIN ST, HAYNESVILLE, LA 71038(318) 624-1122 Get Directions Write a Review

NPPES record last updated: May 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kilgore Pharmacy Llc NPPES

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

KILGORE PHARMACY LLC (NPI 1902670243) is a healthcare organization registered as a long term care pharmacy in Haynesville, Louisiana and active in the NPI registry since November 2023. The organization lists Oluwafemi Adegboyega, Owner, as its authorized official.

NPPES Registry Identity

NPI1902670243
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameKILGORE PHARMACY LLC
Location Address1909 MAIN STHaynesville, LA 71038-4907
Mailing Address1909 Main StHaynesville, LA 71038-4907 · (318) 624-1122
Organization SubpartNo
Authorized OfficialOluwafemi AdegboyegaOwner · (708) 945-0269
Enumeration DateNovember 7, 2023
Last NPPES UpdateMay 3, 2025
NPPES CertifiedMay 3, 2025
NPI 1902670243 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.
1909 MAIN ST, Haynesville, LA 71038

Other Identifiers 1

Medicaid2210017LA

Accepted Insurance

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.

Pharmacist
1909 MAIN ST
HAYNESVILLE, LA 71038
Pharmacy (Community/Retail Pharmacy)
1909 MAIN ST
HAYNESVILLE, LA 71038
Pharmacy (Community/Retail Pharmacy)
1909 MAIN ST
HAYNESVILLE, LA 71038

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 Pharmacy LLC's NPI number?

The NPI number for Kilgore Pharmacy LLC is 1902670243. It was assigned to this organization in the NPPES registry on November 7, 2023.

Where is Kilgore Pharmacy LLC located?

Kilgore Pharmacy LLC is located at 1909 Main St, Haynesville, LA 71038. The listed phone number is (318) 624-1122.

What is Kilgore Pharmacy LLC's specialty?

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

What insurance does Kilgore Pharmacy LLC 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 35 other insurers list Kilgore Pharmacy LLC 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 Pharmacy LLC was last updated on May 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.