OrganizationActive
Kilgore Pharmacy LLC
NPI 1902670243 · Long Term Care Pharmacy · Haynesville, LA
Kilgore Pharmacy LLC is a Long Term Care Pharmacy organization in Haynesville, LA (NPI 1902670243).
Provider details
- NPI number
- 1902670243
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Oluwafemi Adegboyega, Owner(708) 945-0269
Specialties & taxonomies
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1909 Main St
Haynesville, LA 71038-4907
Phone: (318) 624-1122
Street-level locationGet directions
Mailing address
1909 Main St
Haynesville, LA 71038-4907
Registry dates
- Enumerated
- 2023-11-07
- Last updated
- 2025-05-03
- Certified
- 2025-05-03
Frequently asked questions
- What is Kilgore Pharmacy LLC's NPI number?
- Kilgore Pharmacy LLC's National Provider Identifier (NPI) is 1902670243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kilgore Pharmacy LLC?
- Kilgore Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Kilgore Pharmacy LLC located?
- Kilgore Pharmacy LLC's practice location on file with NPPES is 1909 Main St, Haynesville, LA 71038-4907.
- What is Kilgore Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Kilgore Pharmacy LLC is (318) 624-1122.
- Who is the authorized official for Kilgore Pharmacy LLC?
- The authorized official listed on Kilgore Pharmacy LLC's NPPES record is Oluwafemi Adegboyega, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kilgore Pharmacy LLC's NPI active?
- Yes — Kilgore Pharmacy LLC's NPI (1902670243) is active in the NPPES registry as of the last update on 2025-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.