NPIMap

Organization Active NPI

University of Kentucky

Doing business as UK Bluegrass Clinic Pharmacy

  • Pharmacy
  • Lexington, KY
National Provider Identifier
1336728450
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
UNIVERSITY OF KENTUCKY
Doing business as
UK Bluegrass Clinic Pharmacy
Practice address
3101 Beaumont Centre Cir RM 135
Lexington, KY 40513-1961
Phone
(859) 562-0220
Fax
(859) 257-3828
NPI assigned
Apr 6, 2021
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 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
Pharmacy 333600000X Primary
Clinic Pharmacy 3336C0002X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

3101 Beaumont Centre Cir RM 135
Lexington, KY 40513-1961

Mailing address

2317 Alumni Park PLZ Ste 150
Lexington, KY 40517-4291
Phone (859) 257-9521

Other names 1

  • UK Bluegrass Clinic Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213001741 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2070936University of Kentucky, Bluegrass Cares Clinic3101 Beaumont Centre Circle, Lexington, KY 40513Provider-performed microscopyDec 29, 2027
18D2267154Uk Bluegrass Clinic Pharmacy3101 Beaumont Centre Circle, RM 135, Lexington, KY 40513Certificate of waiverAug 21, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
University of Kentucky3101 Beaumont Centre Cir, Lexington, KY 40513(859) 562-0220 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

Member organizations 18

Organizations listed as members of this organization in the National Provider Directory.

View all 18

Locations

3101 Beaumont Centre Cir
Rm 135
Lexington, KY 40513
Phone (859) 562-0220

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.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1336728450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 ALUMNI PARK PLZ STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174291",
            "telephone_number": "859-257-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BEAUMONT CENTRE CIR RM 135",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131961",
            "telephone_number": "859-562-0220",
            "fax_number": "859-257-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UK Bluegrass Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UK Bluegrass Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.