MRS. PAMELA GRISHAM KILGORE


Address: 209 Speight Ave #214, Mclane Student Life Complex - Pharmacy, Waco, TX 76706
Phone: 2547104268

MRS. PAMELA GRISHAM KILGORE (NPI# 1467546028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467546028
Entity Type Individual
Full Name MRS. PAMELA GRISHAM KILGORE
Credential RPH
Practice Address 209 Speight Ave #214
Mclane Student Life Complex - Pharmacy
Waco
TX 76706
Practice Telephone 2547104268
Practice Fax Number 2547103620
Mailing Telephone 2547104268
Mailing Fax Number 2547103620
Enumeration Date 2006-10-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 29050 TX Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS RPH LICENSE NUMBER 29050 01

Office Location

Street Address 209 SPEIGHT AVE #214
MCLANE STUDENT LIFE COMPLEX - PHARMACY
City WACO
State TX
Zip Code 76706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043303555 Sonya Mae Jugert Technician, Other 209 Speight Ave #214, Waco, TX 76706 2006-10-02

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NPI Name Taxonomy Address Enumeration
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1669954863 Lezlie Athey Physical Therapy Assistant 2997 Palomino Trail, Robinson, TX 76706 2018-09-04
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1871942938 Premier Er Plus - Waco, LLC Clinic/Center 221 N Jack Kultgen Expy, Suite 100, Waco, TX 76706 2016-06-09
1770970667 Grant Louis Bargender Specialist/Technologist 1500 S. University Parks Dr, Baylor Athletic Training, Waco, TX 76706 2015-04-19
1376890533 Focus Behavioral Associates, LLC Behavioral Analyst 635 N. Robinson Drive, Suite #k, Robinson, TX 76706 2012-08-07
1700113750 Sheila A Luttrull Nurse Practitioner 1127 Ross Ave., Waco, TX 76706 2009-11-12
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578171054 Jeanne Duncan Waggener Pharmacist 96 Sugar Creek Pl, Waco, TX 76712-3408 2020-07-21
1841708518 Pratik R Shah Pharmacist 5210 Bagby Ave Apt 121, Waco, TX 76711-2309 2018-01-16
1336674449 Timothy Morgan Pharmacist 7524 Bosque Blvd Ste N&o, Waco, TX 76712-3779 2017-04-26
1982154639 Nha Do Pharmacist 1301 Wood Acres, Waco, TX 76710 2016-10-06
1851768527 Van Nguyen Pharmacist 1300 Placid Cir, Apartment 2302, Waco, TX 76706-4501 2015-08-28
1922404656 Judd Owen Ramsey Pharmacist 1600 Providence Dr Ste 101, Waco, TX 76707-2261 2014-11-06
1548608797 Herbert Lee Svec Pharmacist 284 Brazos Oaks Dr, Waco, TX 76705-5211 2013-06-10
1336428846 Jenessa Defrees Burney Pharmacist 2601 Eldridge Ln, Waco, TX 76710-1090 2011-08-15
1851607485 Paul Kitchens Pharmacist 3630 Interstate 35 S, Waco, TX 76706-3755 2010-08-19
1265747307 Heather Brooke Davis Pharmacist 801 Ih 35 N, Waco, TX 76705-2874 2010-08-12
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Competitor

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City WACO
Zip Code 76706

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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