OrganizationActive
Kilgore Express Pharmacy Inc
NPI 1609974633 · Community/Retail Pharmacy · Fort Payne, AL
Provider details
- NPI number
- 1609974633
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lotha Kilgore, Owner(256) 845-6640
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 Greenhill Blvd Nw
Fort Payne, AL 35967-3701
Phone: (256) 845-6640
Fax: (256) 845-9796
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 680905
Fort Payne, AL 35968-1610
Other names (DBA / former)
- Doing business as
- Kilgore Express Pharmacy
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2019-12-24
- Certified
- 2019-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.