CENTRAL STATE HOSPITAL (NPI# 1144467770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144467770 |
| Entity Type | Organization |
| Organization Name | CENTRAL STATE HOSPITAL |
| Other Organization Name | CENTRAL STATE HOSPITAL PHARMACY |
| Practice Address |
10510 La Grange Rd Louisville KY 40223-1277 |
| Practice Telephone | 5022537337 |
| Practice Fax Number | 5022537344 |
| Mailing Telephone | 5022537337 |
| Mailing Fax Number | 5022537344 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | JOE MCCULLEN (SENIOR CONTROLLER) |
| Authorized Official Telephone | 5022537000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
P05065 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 54025408 | 05 | |
| PK | 2118602 | 01 |
| Other Name | Type Code |
|---|---|
| CENTRAL STATE HOSPITAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447609 | Central State Hospital | Psychiatric Hospital | 10510 Lagrange Rd, Louisville, KY 40223-1277 | 2005-06-14 |
| 1063946788 | Central State Hospital | Psychiatric Hospital | 2450 Vinson Hwy Se, Cook Building, Milledgeville, GA 31061-4881 | 2017-04-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CENTRAL STATE HOSPITAL LOCAL REDEVELOPMENT AUTHORITY | 620 Broad St Fl 4, Milledgeville, GA 31062-7525 |
| Street Address |
10510 LA GRANGE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40223-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831161066 | Amarjit Singh Chopra | Psychiatry & Neurology | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2006-02-02 |
| 1831640879 | Joseph Lewis | Nurse Practitioner | 10510 La Grange Rd, Louisville, KY 40223-1228 | 2016-10-14 |
| 1932515327 | Robin Goben | Marriage & Family Therapist | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2014-07-07 |
| 1104174127 | Yousaf Chaudhry | Rehabilitation Counselor | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2012-08-23 |
| 1427313519 | Steven Cornwell | Rehabilitation Counselor | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2012-07-05 |
| 1831450980 | Brittany Hoke | Rehabilitation Counselor | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2012-06-06 |
| 1760755359 | Kendra Hurt | Rehabilitation Counselor | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2012-02-14 |
| 1720366933 | Tyran Dewalt | Rehabilitation Counselor | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2011-07-22 |
| 1184923799 | Meredith Amshoff | Rehabilitation Counselor | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2011-03-22 |
| 1326346719 | Monya Schmidt-robinson | Social Worker | 10510 La Grange Rd, Louisville, KY 40223-1277 | 2011-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605668 | Ashlee Brooke Colville | Counselor | 13121 Esat Point Park Blvd, Suite F, Louisville, KY 40223 | 2018-10-24 |
| 1831619758 | Tracie S Lain | Developmental Therapist | 13101 Eastpoint Park Blvd., Louisville, KY 40223 | 2017-06-21 |
| 1972051399 | Ruby Denise Brooks | Counselor | 1407 Lafontenay Ct, Louisville, KY 40223 | 2016-09-14 |
| 1427409085 | Victoria Krepps Terrell | Nurse Practitioner | 13301 Shelbyville Rd Ste 103, Louisville, KY 40223 | 2016-06-24 |
| 1033570098 | Mackenzie Sipes | Chiropractor | 401 Creason Ct Unit 205, Louisville, KY 40223 | 2016-03-17 |
| 1699151258 | Chelsey Layne Gorham | Marriage & Family Therapist | 13121 Eastpoint Park Blvd Ste F, Louisville, KY 40223 | 2015-08-06 |
| 1356764187 | Paula Renee Garner | Social Worker | 1015 Dorsey Lane, Louisville, KY 40223 | 2014-01-30 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 1417392259 | Lauren Parsons Berry | Dentist | 9780 Ormsby Station Rd, Suite 1200, Louisviile, KY 40223 | 2013-05-07 |
| 1336486653 | Lynn M Pendley | Dietitian, Registered | 9400 Mill Brook Rd, Northeast Ymca, Louisville, KY 40223 | 2013-01-07 |
| Find all providers in zip 40223 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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. |
| 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 |
|---|---|---|---|---|
| 1558372193 | Diamond Grove Ctr Pharmacy | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-08-10 |
| 1619000593 | Diamond Grove Center | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417519067 | Brandy Lashea Brown | Pharmacy | 222 Medical Circle, Pharmacy Department, Morehead, KY 40351 | 2019-07-03 |
| 1801455647 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1043497480 | Western State Hospital Pharmacy | Pharmacy | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2008-01-29 |
| 1174716229 | Federal Medical Center | Pharmacy | 3301 Leestown Rd, Attn: Pharmacy, Lexington, KY 40511-8702 | 2007-08-22 |
| 1790816395 | Commonwealth of Kentucky | Pharmacy | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2007-03-08 |
| 1508908302 | Hazard Arh Regional Med Ctr Hosp Phcy | Pharmacy | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2007-02-12 |
| 1699817312 | Williamson Arh Pharmacy | Pharmacy | 260 Hospital Dr, S Williamson, KY 41503-4072 | 2007-02-12 |
| 1013069582 | Institutional Pharmacy Inc | Pharmacy | 108 E 6th St, Corbin, KY 40701-1422 | 2007-01-17 |
| 1801944517 | Methodist Health, Inc. | Pharmacy | 1305 N Elm St, Henderson, KY 42420-2783 | 2007-01-08 |
| City | LOUISVILLE |
| Zip Code | 40223 |
Please comment or provide details below to improve the information on CENTRAL STATE HOSPITAL.
| 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.