Kilgore Inc
Community/Retail Pharmacy
700 N Providence Rd, Columbia
Missouri, 65203-4373
573-442-0194 573-443-8253
Kilgore Inc is a Community/Retail Pharmacy in Columbia, Missouri. It is located at 700 N Providence Rd, Columbia and it's customer support contact number is 573-442-0194. The authorized person of Kilgore Inc is Ann Bromstedt who is Owner of the pharmacy and his contact number is 573-442-0194. Active license number of Kilgore Inc is 2008000930 for Community/Retail Pharmacy in Missouri. Kilgore Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kilgore Inc is 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.
Pharmacy Details:
Kilgore Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kilgore Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 700 N Providence Rd, Columbia,
Missouri, 65203-4373 |
| Phone: | 573-442-0194 |
| Fax: | 573-443-8253 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ann Bromstedt |
| Position: | Owner |
| Contact Number: | 573-442-0194 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1417901646 |
| NPI Enumeration Date: | 20 May, 2006 |
| NPI Last Update On: | 21 Jan, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kilgore Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 2008000930 | Missouri | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 850587205 | Medicaid | Missouri | |
| 2047047 | Other | | Pk |
| 600587208 | Medicaid | Missouri | |
| 620587204 | Medicaid | Missouri | |
| 600587205 | Medicaid | Missouri | |
Medicare Enrollment:
Kilgore Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3375564503 | O20051215000057 | Kilgore Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 3375564503 | O20100930013848 | Kilgore Inc | DME SUPPLIER - PHARMACY |
Products Available:
Kilgore Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Breast Prostheses & Accessories |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Surgical Dressings | • Traction Equipment |
| • Urological Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 700 N Providence Rd,
Columbia, Missouri |
| Zip: | 65203-4373 |
| Phone Number: | 573-442-0194 |
| Fax Number: | 573-443-8253 |
Patients can reach Kilgore Inc at
700 N Providence Rd, Columbia, Missouri or can
call on customer care at 573-442-0194.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.