NPIMap

Organization Active NPI

University of Kentucky

Doing business as University of Kentucky Clinic Pharmacy

  • Clinic Pharmacy
  • Lexington, KY
National Provider Identifier
1073609731
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
P01621 Issued in KY
Legal business name
UNIVERSITY OF KENTUCKY
Doing business as
University of Kentucky Clinic Pharmacy
Practice address
740 S Limestone
First Floor
Lexington, KY 40536-0284
Phone
(859) 323-5855
Fax
(859) 257-3828
NPI assigned
Oct 4, 2006
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Elaine Debord Younce
Title
Chief of Payer Administration
Phone
(859) 257-9521

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P01621 KY
Clinic Pharmacy 3336C0002X P01621 KY Primary
Specialty Pharmacy 3336S0011X P01621 KY

Addresses

Primary practice location

740 S Limestone
First Floor
Lexington, KY 40536-0284

Mailing address

740 S Limestone
First Floor
Lexington, KY 40536-0284
Phone (859) 323-5855

Other identifiers 4

IdentifierTypeStateIssuer
54008230MedicaidKY
90870346MedicaidKY
0001474002MedicaidWV
45543592MedicaidKY

Other names 1

  • University of Kentucky Clinic Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930062244 KY DME Supplier - Pharmacy 3072425289 Practice locations: Lexington, KY
O20200122001729 KY Part B Supplier - Mass Immunization (Roster Biller Only) 3072425289 Practice locations: Lexington, KY

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Behruz J Abadi DMD39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

Locations

2317 Alumni Park Plz
Fl 4
Lexington, KY 40517

2317 Alumni Park Plz
Ste 300
Lexington, KY 40517

740 S Limestone 1st
Lexington, KY 40536

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of KentuckyLexington, KY, CCN 180067 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Uk Good Samaritan Hospital Psychiatric UnitLexington, KY, CCN 18S067 Hospital Other (100%) Jan 1, 1966
Kings Daughters Medical CenterAshland, KY, CCN 180009 Hospital 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2022
Eastern State HospitalLexington, KY, CCN 184004 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 10, 2013
Kings Daughters Medical Center - OhioPortsmouth, OH, CCN 360361 Hospital 5% Or Greater Indirect Ownership Interest (50%)
Operational/Managerial Control		 Dec 1, 2022
Dec 1, 2022
Kings Daughters Medical CenterAshland, KY, CCN 18T009 Hospital Other Dec 1, 2025
Kingsbrook Lifecare CenterAshland, KY, CCN 185449 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (100%)
Indirect Ownership Interest		 Dec 1, 2022
Dec 1, 2022
Kings Daughters Medical Center Home HealthAshland, KY, CCN 187047 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2022
Kings Daughters Medical Center Jackson Family Care CenterJackson, OH, CCN 363853 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Dec 1, 2022

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1073609731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "address_2": "FIRST FLOOR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-5855",
            "fax_number": "859-257-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "address_2": "FIRST FLOOR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360284",
            "telephone_number": "859-323-5855",
            "fax_number": "859-257-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "YOUNCE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "DEBORD",
        "authorized_official_title_or_position": "CHIEF OF PAYER ADMINISTRATION",
        "authorized_official_telephone_number": "859-257-9521"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P01621",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "KY",
            "license": "P01621",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "KY",
            "license": "P01621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54008230",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90870346",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001474002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45543592",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Kentucky Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Kentucky Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.