Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Commonwealth of Kentucky

Organization Long Term Care Pharmacy · NPI 1023193067

Commonwealth of Kentucky is a Long Term Care Pharmacy in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
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Practice location Address checks out

1800 Bluegrass Ave
Louisville, KY 40214
Phone: (502) 361-2301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence P05011 (KY)

Record details

NPI number1023193067
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCommonwealth of Kentucky
Authorized official Katie Marks — Commissioner · (502) 782-6106
Other names Hazelwood Center Pharmacy; Hazelwood Center Pharmacy
NPI enumeratedOctober 26, 2006
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023
Mailing address1800 Bluegrass Ave, Louisville, KY 40214

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