Kilgore Pharmacy LLC
NPI 1972202067 · Community/Retail Pharmacy · Haynesville, LA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kilgore Pharmacy LLC is a Community/Retail Pharmacy organization in Haynesville, LA (NPI 1972202067).
Provider details
- NPI number
- 1972202067
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Oluwafemi Adegboyega, Owner(708) 945-0269
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Killgore Pharmacy
- Doing business as
- Killgore Pharmacy
- Doing business as
- Killlgore Pharmacy
Registry dates
- Enumerated
- 2023-02-27
- 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 1972202067, 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 Community/Retail 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.
- Does Kilgore Pharmacy LLC accept Medicare?
- Kilgore Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1972202067) 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.