WESTERN STATE HOSPITAL PHARMACY – NPI #1124144456
Pharmacist

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

WESTERN STATE HOSPITAL PHARMACY is a pharmacist located in HOPKINSVILLE, KY. NPPES has assigned the NPI number 1124144456 to WESTERN STATE HOSPITAL PHARMACY on March 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WESTERN STATE HOSPITAL PHARMACY” is a dba name, the actual legal business name for this organization is COMMONWEALTH OF KENTUCKY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

The NPI profile was previously updated about 11 years ago on Jul 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESTERN STATE HOSPITAL PHARMACY below.

NPI Profile for
COMMONWEALTH OF KENTUCKY

NPI Number
1124144456
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMONWEALTH OF KENTUCKY
Doing Business As (dba): WESTERN STATE HOSPITAL PHARMACY
Primary location
2400 RUSSELLVILLE ROAD
HOPKINSVILLE, KY 42240
Phone: (270) 889-6025 Fax: (270) 889-5062
Mailing address
Same as primary location
Organization Subpart
Yes - WESTERN STATE HOSPITAL PHARMACY is subpart of another organization.
Authorized Official
STEPHANIE CRAYCRAFT
DIRECTOR
Phone: (502) 782-6243
Updated
Identifiers

Identifiers for WESTERN STATE HOSPITAL PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY5402559800
MEDICAIDKY54025598
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)
KY
3336L0003X
- Pharmacy / Long Term Care Pharmacy
KY P05010
1835P1300X
- Pharmacist / Psychiatric
KY
1835G0303X
- Pharmacist / Geriatric
KY

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.