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Kb Kirksville Pharmacy LLC

Community/Retail Pharmacy in Kirksville, MO · enumerated 2016 · authorized official Tracy Timmermann, Manager/Ao.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134579923

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Kb Kirksville Pharmacy LLC
Other name <Unavail>
Practice address 1611 S Baltimore St, Kirksville, MO, 63501
Fax (660) 956-7015
Enumeration date Jun 13, 2016
Last updated in NPPES Apr 2, 2020

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 2016029935 (MO) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Tracy Timmermann
Title Manager/Ao

Other identifiers

Identifier Type State Issuer
2160612 Other - PK
600035560 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-04-02. Verify at npiregistry.cms.hhs.gov.
Where is Kb Kirksville Pharmacy LLC located?
The practice location on file with NPPES is in Kirksville, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-04-02.