WESTERN STATE HOSPITAL PHARMACY (NPI# 1043497480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043497480 |
| Entity Type | Organization |
| Organization Name | WESTERN STATE HOSPITAL PHARMACY |
| Practice Address |
2400 Russellville Rd Hopkinsville KY 42240-8095 |
| Practice Telephone | 2708896025 |
| Practice Fax Number | 2708895062 |
| Mailing Telephone | 2708896025 |
| Mailing Fax Number | 2708895062 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MR. ROGER WESTFALL (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Authorized Official Telephone | 2708896025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
P06561 | KY | Suppliers |
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
P05010 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 5402559800 | 05 |
| Street Address |
2400 RUSSELLVILLE RD |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-8095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124167 | Commonwealth of Kentucky | Nursing Facility/Intermediate Care Facility | 2400 Russellville Rd, Us 68 East, Hopkinsville, KY 42241 | 2005-06-16 |
| 1649879693 | Elsie Darlene Foster | Registered Nurse | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2020-10-21 |
| 1770118853 | Benjamin Law | Student in an Organized Health Care Education/Training Program | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-09 |
| 1134754690 | Nathan Ragsdale | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-05 |
| 1881229383 | Timothy Hendricks | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2020-03-05 |
| 1134766603 | Tabatha Hawkins | Registered Nurse | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2019-12-04 |
| 1669017216 | Rocky Trusty | Peer Specialist | 2400 Russellville Rd, Genesis East, Hopkinsville, KY 42240-8725 | 2019-11-07 |
| 1689215915 | David Fontaine | Peer Specialist | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-10-08 |
| 1548811557 | Glenn Edwin Childress | Peer Specialist | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-09-23 |
| 1164072971 | Joanna Marie Newsome | Student in an Organized Health Care Education/Training Program | 2400 Russellville Rd, Hopkinsville, KY 42240-8095 | 2019-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417519067 | Brandy Lashea Brown | Pharmacy | 222 Medical Circle, Pharmacy Department, Morehead, KY 40351 | 2019-07-03 |
| 1801455647 | Pineville Community Health Center Inc | Pharmacy | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1174716229 | Federal Medical Center | Pharmacy | 3301 Leestown Rd, Attn: Pharmacy, Lexington, KY 40511-8702 | 2007-08-22 |
| 1790816395 | Commonwealth of Kentucky | Pharmacy | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2007-03-08 |
| 1508908302 | Hazard Arh Regional Med Ctr Hosp Phcy | Pharmacy | 100 Medical Center Dr, Hazard, KY 41701-9421 | 2007-02-12 |
| 1699817312 | Williamson Arh Pharmacy | Pharmacy | 260 Hospital Dr, S Williamson, KY 41503-4072 | 2007-02-12 |
| 1013069582 | Institutional Pharmacy Inc | Pharmacy | 108 E 6th St, Corbin, KY 40701-1422 | 2007-01-17 |
| 1801944517 | Methodist Health, Inc. | Pharmacy | 1305 N Elm St, Henderson, KY 42420-2783 | 2007-01-08 |
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.