KILGORE PHARMACY LLC
NPI 1972202067
Pharmacy - Community/Retail Pharmacy in Haynesville, LA

Active since February 27, 2023
1909 MAIN ST, HAYNESVILLE, LA 71038(318) 624-1122(318) 624-3343 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 1972202067), doing business as Killgore Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Haynesville, Louisiana and active in the NPI registry since February 2023. The organization lists Oluwafemi Adegboyega, Owner, as its authorized official.

NPPES Registry Identity

NPI1972202067
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKILGORE PHARMACY LLC
Location Address1909 MAIN STHaynesville, LA 71038-4907
Mailing Address1909 Main StHaynesville, LA 71038-4907 · (318) 624-1122 · Fax (318) 624-3343
Fax(318) 624-3343
Organization SubpartNo
Authorized OfficialOluwafemi AdegboyegaOwner · (708) 945-0269
Enumeration DateFebruary 27, 2023
Last NPPES UpdateMay 3, 2025
NPPES CertifiedMay 3, 2025
NPI 1972202067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
1909 MAIN ST, Haynesville, LA 71038

Other Names 2

Doing Business AsKillgore Pharmacy
Doing Business AsKilllgore Pharmacy

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 (Long Term Care 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 1972202067. It was assigned to this organization in the NPPES registry on February 27, 2023. The provider is doing business as Killgore Pharmacy and Killlgore Pharmacy.

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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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 52 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.