NPIMap

Organization Active NPI

University of Kentucky

Doing business as University of Kentucky Chandler Retail Pharmacy

  • Pharmacy
  • Lexington, KY
National Provider Identifier
1174967269
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
P07556 Issued in KY
Legal business name
UNIVERSITY OF KENTUCKY
Doing business as
University of Kentucky Chandler Retail Pharmacy
Practice address
1000 S Limestone St
Pavillion a.01.114
Lexington, KY 40536-0294
Phone
(859) 218-3340
Fax
(859) 323-4277
NPI assigned
Apr 19, 2013
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, FHFMA
Title
Chief of Payer Administration
Phone
(859) 257-9521

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X P07556 KY Primary
Mail Order Pharmacy 3336M0002X P07556 KY

Addresses

Primary practice location

1000 S Limestone St
Pavillion a.01.114
Lexington, KY 40536-0294

Mailing address

740 S Limestone
Room J134 Kentucky Clinic
Lexington, KY 40536-0294
Phone (859) 323-5855

Other names 1

  • University of Kentucky Chandler Retail Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210209002318 KY DME Supplier - Pharmacy 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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
University of Kentucky1000 S Limestone St, Lexington, KY 40536-0007(859) 218-3340 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Apr 1, 2018

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

1000 S Limestone
#A1114
Lexington, KY 40506
Phone (859) 218-3340

1000 S Limestone St
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": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1174967269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S LIMESTONE",
            "address_2": "ROOM J134 KENTUCKY CLINIC",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360294",
            "telephone_number": "859-323-5855",
            "fax_number": "859-323-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S LIMESTONE ST",
            "address_2": "PAVILLION A.01.114",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360294",
            "telephone_number": "859-218-3340",
            "fax_number": "859-323-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "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",
        "authorized_official_credential": "FHFMA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "P07556",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "KY",
            "license": "P07556",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Kentucky Chandler Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Kentucky Chandler Retail Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.