Western State Hospital Pharmacy

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

P05010 Issued in KY

Legal business name

WESTERN STATE HOSPITAL PHARMACY

Practice address

2400 Russellville Rd
Hopkinsville, KY 42240-8095

Phone

(270) 889-6025

Fax

(270) 889-5062

NPI assigned

Jan 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roger Westfall

Title

Director of Administrative Services

Phone

(270) 889-6025

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Commonwealth of Kentucky3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Commonwealth of Kentucky

  • Psychiatric Hospital
  • Hopkinsville, KY
  • NPI 1508861683
  NPD tax ID
• Corpus Christi Medical Center

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1780065540
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1043497480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 RUSSELLVILLE RD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408095",
            "telephone_number": "270-889-6025",
            "fax_number": "270-889-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RUSSELLVILLE RD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408095",
            "telephone_number": "270-889-6025",
            "fax_number": "270-889-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN STATE HOSPITAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "270-889-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "KY",
            "license": "P05010",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "KY",
            "license": "P06561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5402559800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Western Kentucky Pulmonary Clinic
• Western Kentucky Pulmonary Clinic
• Western Kentucky Surgical Associates PLLC
• Western Ky Medical, LLC
• Western Ky Rheumatology, PLLC
• Adrienne White
• Talisha White
• Tresa C. White, DMD
• Kati Suzanne Whiteford, FNP-BC
• Eboni Champale Whitlock, CPT, CNA

• All providers in Hopkinsville, KY
• Institutional Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.