COMMONWEALTH OF KENTUCKY (NPI# 1023193067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023193067 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH OF KENTUCKY |
| Other Organization Name | HAZELWOOD CENTER PHARMACY |
| Practice Address |
1800 Bluegrass Ave Louisville KY 40214 |
| Practice Telephone | 5023612301 |
| Mailing Telephone | 5023612301 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-02-20 |
| Authorized Official Name | WENDY MORRIS (COMMISSIONER) |
| Authorized Official Telephone | 5025644527 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMONWEALTH OF KENTUCKY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
P05011 | KY | Suppliers |
| Other Name | Type Code |
|---|---|
| Hazelwood Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043686900 | Commonwealth of Kentucky | Skilled Nursing Facility | 100 Veterans Drive, Radcliff, KY 40160 | 2015-08-14 |
| 1245657857 | Commonwealth of Kentucky | Clinic/Center | 2441 Us Highway 27, Somerset, KY 42501 | 2014-03-20 |
| 1730329897 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood, 2441 S. Hwy 27, Somerset, KY 42501 | 2009-03-03 |
| 1588804546 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 400 Eastwood Dr, 2441 S. Hwy 27, Somersetq, KY 42501 | 2009-03-03 |
| 1770762833 | Commonwealth of Kentucky | Residential Treatment Facility, Physical Disabilities | 5659 Main St, Thelma, KY 41260-8609 | 2007-10-25 |
| 1396962551 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 200 Veterans Dr, Hazard, KY 41701-9484 | 2007-04-19 |
| 1124144456 | Commonwealth of Kentucky | Pharmacy | 2400 Russellville Road, Hopkinsville, KY 42240 | 2007-03-21 |
| 1194862599 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 23524 Dawson Springs Rd, Dawson Springs, KY 42408-9205 | 2007-02-01 |
| 1083785125 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 4401-4505 Louise Underwood Way, Louisville, KY 40216 | 2006-11-12 |
| 1689652513 | Commonwealth of Kentucky | Intermediate Care Facility, Mentally Retarded | 210 Meadows Dr, Mt Washington, KY 40047-6013 | 2005-12-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMONWEALTH OF KENTUCKY - DEPARTMENT FOR LOCAL GOVERNMENT | 1024 Capital Center Dr Ste 340, Frankfort, KY 40601-7514 |
| Street Address |
1800 BLUEGRASS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608543 | Lawrence G. Goldberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2005-06-10 |
| 1902376817 | Emily Kristen Mcwilliams | Physical Therapy Assistant | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-12-04 |
| 1174093090 | Ethan Cole Adams | Physical Therapist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-12-04 |
| 1902376825 | Jennifer Weiger | Occupational Therapy Assistant | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-12-04 |
| 1720558646 | Travis Petty | Physical Therapy Assistant | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-12-04 |
| 1467928895 | Lydia Coots | Physical Therapist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-10-24 |
| 1366937260 | Hayley Russell | Nurse Practitioner | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-06-25 |
| 1508358359 | Ashley Newton | Nurse Practitioner | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-06-06 |
| 1316458987 | Lydia Coughlin | Speech-Language Pathologist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2017-10-23 |
| 1073062634 | Ashley Nicole Hill | Speech-Language Pathologist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2016-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058659 | Abcdentistry | Clinic/Center | 5316 S 3rd St, Louisville, KY 40214 | 2018-03-28 |
| 1538591300 | Byrne Dental,psc | Dentist | 4739 So. Third Street, Louisville, KY 40214 | 2013-08-05 |
| 1205110400 | Michael Wayne Probst | Pharmacist | 5201 South Third Street, Louisville, KY 40214 | 2011-10-06 |
| 1871876920 | Cindy Eillene Ohlmann | Pharmacist | 5400 New Cut Road, Louisville, KY 40214 | 2011-09-26 |
| 1801129960 | Deborah Suzanne Slusher | Speech-Language Pathologist | 109 Seneca Trail, Louisville, KY 40214 | 2009-09-08 |
| 1255592267 | Mitisha Nichole Martin | Dentist | 5316 S. 3rd Street, Louisville, KY 40214 | 2008-06-23 |
| 1588862361 | Kentucky Eye Surgery Associates Psc | Ophthalmology | 4940 Hazelwood Avenue, Louisville, KY 40214 | 2007-07-03 |
| 1558565739 | James Latroy Burks | Counselor | 927 Southview Rd, Louisville, KY 40214 | 2007-06-12 |
| 1770792475 | Kimberly Lynn Wheatley | Physical Therapist | 250 Kenwood Hill Road, Louisville, KY 40214 | 2007-05-21 |
| 1821219601 | Courtney Marie Smith | Speech-Language Pathologist | 3222 Rolling Oak Blvd, Louisville, KS 40214 | 2007-05-01 |
| Find all providers in zip 40214 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407498546 | Andrews Packaging Pharmacy, Inc | Pharmacy | 10101 Taylorsville Rd Ste 103, Louisville, KY 40299-3663 | 2019-10-10 |
| 1174946875 | Orion Rx Kentucky LLC | Pharmacy | 13100 Magisterial Dr Ste 102, Louisville, KY 40223-5185 | 2014-01-31 |
| 1053757393 | Pharm-save, Inc. | Pharmacy | 13040 Eastgate Park Way Ste 105, Louisville, KY 40223-3915 | 2013-05-14 |
| 1992819635 | D&r Pharmaceutical Services, LLC | Pharmacy | 4400 Ole Brickyard Cir, Louisville, KY 40218-3066 | 2006-08-19 |
| 1558394122 | Pharmacy Corporation of America | Pharmacy | 12100 Plantside Dr, Louisville, KY 40299-6343 | 2006-07-08 |
| 1568498426 | Seniorx Pharmacy LLC | Pharmacy | 500 S Arthur Ave, Suite 300b, Louisville, CO 80027-3065 | 2006-06-23 |
| 1821030636 | Pharmacy Alternatives LLC | Pharmacy | 11401 Bluegrass Parkway, Louisville, KY 40299 | 2006-06-13 |
| 1699319814 | St. Matthews Pharmacy Pllc | Pharmacy | 3922 Willis Ave, Louisville, KY 40207-4911 | 2019-10-31 |
| 1013563659 | Louisville Drug Inc | Pharmacy | 213 Main St, Louisville, NE 68037-6032 | 2019-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1871133116 | Tompkinsville Drugs LLC | Pharmacy | 1513 Edmonton Rd, Tompkinsville, KY 42167-9402 | 2020-01-15 |
| 1578104287 | Medwiz of Kentucky, LLC | Pharmacy | 116 Venture Ct Suites 4-5-6, Lexington, KY 40511-2625 | 2019-10-03 |
| 1164994315 | Rice Drugs, Inc. | Pharmacy | 125 Veller Drive, Beaver Dam, KY 42320-8955 | 2018-12-28 |
| 1427328459 | Highland Pharmacy Inc | Pharmacy | 301 Rogers Rd, Glasgow, KY 42141-4110 | 2012-01-06 |
| 1801164348 | Apothecare Pharmacy of Elizabethtown P S C | Pharmacy | 189 E Lincoln Trail Blvd, Radcliff, KY 40160-1253 | 2011-12-12 |
| 1386958866 | Bluegrass Long Term Care | Pharmacy | 2187 Lexington Rd Ste 1, Richmond, KY 40475-7919 | 2010-07-27 |
| 1730320326 | S.e.w. Enterprises, Inc. | Pharmacy | 317 West Broadway, Mayfield, KY 42066 | 2009-03-12 |
| 1922125319 | Christian Care Communities, Inc. | Pharmacy | 116 Commonwealth Ave, Corbin, KY 40701 | 2007-03-23 |
| 1124144456 | Commonwealth of Kentucky | Pharmacy | 2400 Russellville Road, Hopkinsville, KY 42240 | 2007-03-21 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40214 |
Please comment or provide details below to improve the information on COMMONWEALTH OF KENTUCKY.
| 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.