340B Drug Pricing Program Database


DSH180067 UNIVERSITY OF KENTUCKY (Active) - information as of 4/25/2025 6:32:40 PM

Main Details
UNIVERSITY OF KENTUCKY
UK Chandler Hospital
Disproportionate Share Hospital
No
DSH180067
180067


Additional Details
Active
9/6/2007
12/1/1992
9/6/2007
8/15/2024

Contacts

UK HealthCare
Timothy Andrew Slocum, Senior Vice President & Chief Operations Officer
(859) 257-4119

University of Kentucky
Philip J Almeter, Chief Pharmacy Officer
(859) 323-1088

Addresses

800 ROSE STREET
LEXINGTON, KY 40536

UK Healthcare, Accounting
2347 Sterlington Rd.
Ste 300
Lexington, KY 40517-4024


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
This request is being rejected at this time, ita ppears we need to have a discussion about the 3 hospitals you have listed in the database and their need for further brek out jhardin@hrsa.gov 8/19/03 - NEW MED # (WAS 54108230); 3/21/07 - MOVED SHIP TO ADDR TO CORRECT FIELD09/13/2012
8/19/03 - NEW MED # (WAS 54108230); 3/21/07 - MOVED SHIP TO ADDR TO CORRECT FIELD05/11/2010
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
KY010139781073609731,1114305307,1174967269,1295190833,1326489071,1386057990,1518911338,1336728450,1275291759,1780342246
IN100069710A1073609731,1114305307,1174967269,1295190833,1326489071,1386057990,1518911338,1336728450,1275291759,1780342246
OH00230851073609731,1114305307,1174967269,1295190833,1326489071,1386057990,1518911338,1336728450,1275291759,1780342246
TN91800921073609731,1114305307,1174967269,1295190833,1326489071,1386057990,1518911338,1336728450,1275291759,1780342246
VA98111091073609731,1114305307,1174967269,1295190833,1326489071,1386057990,1518911338,1336728450,1275291759,1780342246
WV01740420001073609731,1114305307,1174967269,1295190833,1326489071,1386057990,1518911338,1336728450,1275291759,1780342246
Shipping Addresses

UK HOSPITAL- KENTUCKY CLINIC PHARMACY
740 SOUTH LIMESTONE, J-134 KENTUCKY CLINIC
LEXINGTON, KY 40536

UK University Health Pharmacy
830 South Limestone Street
Lexington, KY 40536

University of Kentucky Hospital Pharmacy
UK Chandler Hospital
1000 South Limestone Street
Lexington, KY 40536

UNIVERSITY OF KENTUCKY-GOOD SAMARITAN RETAIL PHARMACY
310 SOUTH LIMESTONE STREET
LEXINGTON, KY 40508

UK - Markey Outpatient Chemotherapy Infusion Pharmacy
800 Rose Street
Room HC201
Lexington, KY 40536

Chandler Retail Pharmacy
1000 South Limestone Street
Room A.01.114
Lexington, KY 40536

UK Pharmacy Services - Turfland
2195 Harrodsburg Road
Lexington, KY 40504

UK Specialty Pharmacy
531 Wellington Way
Lexington, KY 40503

UK Bluegrass Clinic Pharmacy
3101 Beaumont Centre Circle
Lexington, KY 40513

UK – Fountain Court Clinic Pharmacy
245 Fountain Court
Lexington, KY 40509

UK – The Apothecary
160 Avenue of Champions
Lexington, KY 40508

UKHEALTHCARE GOOD SAMARITAN PHARMACY - Hospital
310 S LIMESTONE ST
Lexington, KY 40508

UK - Markey Cancer Center Pharmacy at Lexington Clinic
2019 CORPORATE DR
RICHMOND, KY 40475

Safecor Health
4060 Business Park Dr Ste B
Columbus, OH 43204
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailACCREDO HEALTH GROUP INC1620 CENTURY CENTER PKWY # 109
MEMPHISTN38134-884910/14/201301/01/2014  11/02/2016
Contract DetailACCREDO HEALTH GROUP INC3000 ERICSSON DRIVE, SUITE 100
WARRENDALEPA15086-750210/14/201301/01/2014  11/02/2016
Contract DetailACCREDO HEALTH GROUP INC201 GREAT CIRCLE ROAD
NASHVILLETN3722801/12/201404/01/2014 08/01/201703/23/2018
Contract DetailACCREDO HEALTH GROUP INC2040 W RIO SALADO PKWY STE 101B
TEMPEAZ85281-201004/12/202407/01/2024  07/01/2024
Contract DetailACCREDO HEALTH GROUP, INC.  PHARMACY
2 BOULDEN CIRCLE SUITE 1 		NEW CASTLEDE1972010/14/201301/01/2014 07/01/201511/02/2016
Contract DetailACCREDO HEALTH GROUP, INC.2825 W PERIMETER RD STE 112
INDIANAPOLISIN4624110/14/201301/01/2014  11/02/2016
Contract DetailACCREDO HEALTH GROUP, INC.6272 LEE VISTA BLVD STE 100
ORLANDOFL3282210/14/201301/01/2014  11/02/2016
Contract DetailACCREDO HEALTH GROUP, INC.2 BOULDEN CIR STE 1
NEW CASTLEDE19720-349207/01/201510/01/2015  11/02/2016
Contract DetailACCREDO HEALTH GROUP, INC.4750 E 450 S SUITE A
WHITESTOWNIN4607501/11/202204/01/2022  04/01/2022
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526110/12/202301/01/2024  01/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC13925 YALE AVE STE 145
IRVINECA92620-267010/12/202301/01/2024  01/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/12/202301/01/2024  01/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/09/202410/01/2024  10/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/09/202410/01/2024  10/01/2024
Contract DetailCAREMARK FLORIDA SPECIALTY PHARMACY LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7930 WOODLAND CENTER BLVD STE 500
TAMPAFL3361410/12/202301/01/2024  01/01/2024
Contract DetailCAREMARK ILLINOIS SPECIALTY PHARMACY, LLDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 800 BIERMANN CT STE B
MOUNT PROSPECTIL6005607/03/201710/01/2017  10/01/2017
Contract DetailCAREMARK KANSAS SPECIALTY PHARMACYCVS/SPECIALTY OR CARELONRX SPECIALTY PHA 11162 RENNER BLVD
LENEXAKS6621907/03/201710/01/2017  10/01/2017
Contract DetailCAREMARK NEW JERSEY SPECIALTY PHCY, LLCDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 180 PASSAIC AVE UNIT B-5
FAIRFIELDNJ0700404/15/202107/01/2021  07/01/2021
Contract DetailCAREMARK NORTH CAROLINA SPECIALTY PHARMADBA CVS/SPECIALTY OR CARELONRX SPECIALTY 10700 WORLD TRADE BLVD STE 110
RALEIGHNC2761710/12/202301/01/2024  01/01/2024
Contract DetailCAREMARK TENNESSEE SPECIALTY PHARMACY, LDBA CVS/SPECIALTY OR CARELONRX SPECIALTY 8370 WOLF LAKE DR
STE 107 		BARTLETTTN3813304/15/202107/01/2021  07/01/2021
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 1127 BRYN MAWR AVE
SUITE A 		REDLANDSCA9237410/12/202301/01/2024  01/01/2024
Contract DetailCAREMARK, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 7251 S. EASTERN AVE.
LAS VEGASNV8911904/15/202107/01/2021  07/01/2021
Contract DetailCVS CAREMARKDBA CVS/CAREMARK OR CF# 11506 1 GREAT VALLEY BOULEVARD
WILKES BARREPA1870607/11/202110/01/2021  10/01/2021
Contract DetailCVS CAREMARK ADVANCED TECHNOLOGY PHARMACDBA CVS/CAREMARK 48067 1780 WALL ST
MT PROSPECTIL6005607/11/202110/01/2021  10/01/2021
Contract DetailCVS/SPECIALTY OR CARELONRX SPECIALTY PHACAREMARK, LLC 1001 SPINKS ROAD, STE 280
FLOWER MOUNDTX7502804/15/202107/01/2021  07/01/2021
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503301/04/201804/01/2018  01/04/2018
Contract DetailDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654110/12/202301/01/2024  01/01/2024
Contract DetailESI MAIL PHARMACY SERVICEDBA EXPRESS SCRIPTS 7909 S HARDY DR STE 106
TEMPEAZ85284-111204/15/201607/01/2016 10/27/201705/03/2018
Contract DetailEXPRESS SCRIPTSESI MAIL PHARMACY SERVICE INC 4600 N HANLEY RD
SAINT LOUISMO6313404/15/201607/01/2016 10/27/201705/03/2018
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 2040 ROUTE 130 NORTH
BURLINGTONNJ0801604/15/201607/01/2016 10/27/201705/03/2018
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 4750 E. 450 S.
WHITESTOWNIN4607504/15/201607/01/2016 10/27/201705/03/2018
Contract DetailEXPRESS SCRIPTS PHARMACY, INC.DBA EXPRESS SCRIPTS 255 PHILLIPI ROAD
COLUMBUSOH4322804/15/201607/01/2016 10/27/201705/03/2018
Contract DetailKENTUCKY CENTRAL FILL FACILITY, L-0105594 SHEPHERDSVILLE ROAD
LOUISVILLEKY40228-101207/15/201510/01/2015 10/09/202210/11/2022
Contract DetailKENTUCKY CENTRAL FILL FACILITY, L-0105594 SHEPHERDSVILLE ROAD
LOUISVILLEKY40228-101210/14/202201/01/2023 10/09/202210/17/2022
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06940 2000 HARRODSBURG ROAD
LEXINGTONKY4050304/12/201307/01/2013  11/02/2016
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06941 118 EAST NEW CIRCLE RD.
LEXINGTONKY4050504/12/201307/01/2013  11/02/2016
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06942 3097 TODDS RD.
LEXINGTONKY4050904/12/201307/01/2013  11/02/2016
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 07618 3605 WALDEN DRIVE
LEXINGTONKY4051704/12/201307/01/2013  11/02/2016
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06346 409 EAST MAIN STREET
RICHMONDKY4047507/05/201310/01/2013  11/02/2016
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06343 30 S KY HIGHWAY 15
HAZARDKY4170107/05/201310/01/2013 03/01/202304/21/2023
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06334 199 LEXINGTON ST
VERSAILLESKY4038307/05/201310/01/2013  11/02/2016
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 03016 101 LACY LANE
PARISKY4036107/05/201310/01/2013  11/02/2016
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 02332 101 WEST SHOWALTER DRIVE
GEORGETOWNKY4032407/05/201310/01/2013  11/02/2016
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06335 231 SOUTH SECOND ST.
DANVILLEKY4042207/11/202110/01/2021  10/01/2021
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.DBA: CVS/PHARMACY # 06348 214 MOORELAND AVE.
HARRODSBURGKY4033007/11/202110/01/2021  10/01/2021
Contract DetailKENTUCKY CVS PHARMACY, L.L.C.CVS/PHARMACY # 17759 500 SOUTH UPPER STREET
SUITE 100 		LEXINGTONKY4050810/12/202301/01/2024  01/01/2024
Contract DetailKROGER810 INDIAN MOUND DRIVE
MT STERLINGKY4035307/14/201510/01/2015  11/02/2016
Contract DetailKROGER PHARMACY1808 ALEXANDRIA DR
LEXINGTONKY4050407/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACYMILL POND CENTER 3650 BOSTON ROAD
LEXINGTONKY4051407/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY1661 BYPASS 1958
WINCHESTERKY4039107/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY1309 STE H US HWY 127 SOUTH
FRANKFORTKY4060107/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY200 SKYWATCH DRIVE
DANVILLEKY4042207/14/201510/01/2015  11/02/2016
Contract DetailKroger PharmacyJeffersonville Central Fill Facility 301 Logistics Ave
Suite 200 		JeffersonvilleIN4713010/17/202201/01/2023  01/01/2023
Contract DetailKROGER PHARMACY #4091732 WEST HWY 192
LONDONKY4074107/14/201510/01/2015 01/15/202402/19/2024
Contract DetailKROGER PHARMACY #774212 KROGER WAY
VERSAILLESKY4038311/28/201201/01/2013  11/02/2016
Contract DetailKROGER PHARMACY #784704 EUCLID AVE
LEXINGTONKY4050204/10/201507/01/2015  11/02/2016
Contract DetailKROGER PHARMACY #L4073101 RICHMOND ROAD
LEXINGTONKY4050907/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-3474101 TATES CREEK CENTRE DRIVE
LEXINGTONKY4051711/28/201201/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-352150 W. LOWRY LN., STE 190
LEXINGTONKY4050307/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-3591650 BRYAN STATION RD STE 170
LEXINGTONKY4050507/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-363844 SOUTH COLLEGE STREET
HARRODSBURGKY4033007/14/201510/01/2015  11/02/2016
Contract DetailKROGER PHARMACY L-397300 BRIGHTON PARK BLVD
FRANKFORTKY4060107/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-705890 RICHMOND PLAZA
RICHMONDKY4047507/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-708170 BELLERIVE BLVD
NICHOLASVILLEKY4035611/28/201201/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-713995 SOUTH MAIN STREET
NICHOLASVILLEKY4035611/28/201201/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-7214750 HARTLAND PARKWAY
LEXINGTONKY4051507/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-74550 STONEGATE CENTER
SOMERSETKY4250110/13/202301/01/2024  01/01/2024
Contract DetailKROGER PHARMACY L-757181 SOUTH HWY 27
SOMERSETKY4250110/13/202301/01/2024  01/01/2024
Contract DetailKROGER PHARMACY L-766200 EAST BRANNON ROAD
NICHOLASVILLEKY4035611/28/201201/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-7673175 BEAUMONT CENTRE CIRCLE
LEXINGTONKY4051307/08/201310/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-7681600 LEESTOWN ROAD, STE 150
LEXINGTONKY4051111/28/201201/01/2013  11/02/2016
Contract DetailKROGER PHARMACY L-779106 MARKETPLACE CIRCLE
GEORGETOWNKY4032407/14/201510/01/2015  11/02/2016
Contract DetailKROGER PHARMACY L-901  255 CUMBERLAND CROSSING
MONTICELLOKY4263307/14/201510/01/2015 02/14/201702/14/2017
Contract DetailKROGER PHARMACY L-9131300 ANDERSON CROSSING DR
LAWRENCEBURGKY4034207/14/201510/01/2015  11/02/2016
Contract DetailKROGER PHARMACY L411179 WEST COLLEGE AVENUE
STANTONKY4038007/14/201510/01/2015  11/02/2016
Contract DetailKROGER PHARMACY L734300 KROGER CENTER
MOREHEADKY4035107/14/201510/01/2015  11/02/2016
Contract DetailKROGER PHARMACY L7371060 CHINOE ROAD STE 190
LEXINGTONKY4050211/28/201201/01/2013  11/02/2016
Contract DetailOPTION CARE ENTERPRISES, INC.D/B/A OPTION CARE 11403 BLUEGRASS PARKWAY
SUITE 400 		LOUISVILLEKY40299-239810/15/201901/01/2020  01/01/2020
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100 		ORLANDOFL32819-999201/04/201804/01/2018 10/01/202211/02/2022
Contract DetailPROCARE PHARMACY DIRECT, L.L.C.DBA CVS/SPECIALTY OR CARELONRX SPECIALTY 105 MALL BOULEVARD
MONROEVILLEPA1514607/02/201410/01/2014  11/02/2016
Contract DetailRAINA RX LLCDBA ROUTE 300 PHARMACY 1208 ROUTE 300
SUITE 103 		NEWBURGHNY1255010/12/202301/01/2024  01/01/2024
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3347 130 WEST LOUDON AVENUE
LEXINGTONKY4050804/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3954 4101 TATES CREEK CTR DR ST156
LEXINGTONKY4051704/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3912 1307 WINCHESTER ROAD
LEXINGTONKY4050504/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3931 2700 RICHMOND ROAD
LEXINGTONKY4050904/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3947 1335 SOUTH BROADWAY
LEXINGTONKY4050404/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #7920 104 PEDRO WAY
WINCHESTERKY4039104/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #7782 3813 DYLAN PLACE
LEXINGTONKY4051404/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3910 878 EAST HIGH STREET
LEXINGTONKY4050204/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #1436 100 HOLLY HILLS MALL
HINDMANKY4182204/09/201307/01/2013 01/19/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3913 2284 VERSAILLES ROAD
LEXINGTONKY4050404/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #7842 6401 POLO CLUB LANE
LEXINGTONKY4050904/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #7856 1401 KEENE ROAD
NICHOLASVILLEKY4035604/09/201307/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3921 3349 TATES CREEK ROAD
LEXINGTONKY4050207/05/201310/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #2573 3735 PALOMAR CTR DR STE80
LEXINGTONKY4051307/05/201310/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3935 310 GLADES ROAD
BEREAKY4040307/05/201310/01/2013 01/27/201611/02/2016
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3918 1115 KIM KENT DRIVE
RICHMONDKY4047507/05/201310/01/2013 01/19/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3949 PARK HILLS SHOPPING CENTER
3120 PIMLICO PKWY STE 178 		LEXINGTONKY4051707/05/201310/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #7892 100 MALABU DRIVE
LEXINGTONKY4050307/05/201310/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3260 1261 US HIGHWAY 27 N
STANFORDKY4048407/05/201310/01/2013 01/19/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3943 110 RICHMOND ROAD
IRVINEKY4033607/05/201310/01/2013 01/19/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3914 103 ASH DRIVE
PARISKY4036107/05/201310/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3939 101 EASTWOOD SHOPPING CENTER
FRANKFORTKY4060107/05/201310/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3566 1000 BYPASS SOUTH
LAWRENCEBURGKY4034207/05/201310/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #2659 KIMBERLY SQUARE CENTER
951 S. MAIN STREET 		NICHOLASVILLEKY4035607/05/201310/01/2013 01/26/201801/30/2018
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3920 1160 US HIGHWAY 68
MAYSVILLEKY4105607/05/201310/01/2013 01/27/201611/02/2016
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #3938 629 US HIGHWAY 27 SOUTH
CYNTHIANAKY4103107/05/201310/01/2013 01/27/201611/02/2016
Contract DetailRITE AID OF KENTUCKY, INC.RITE AID #1015 3101 CLAYS MILL ROAD STE 114
LEXINGTONKY4050307/05/201310/01/2013 06/27/201701/30/2018
Contract DetailRIVER MEDICAL PHARMACY LLC4752 RESEARCH DR
SAN ANTONIOTX78240-500210/12/202301/01/2024  01/01/2024
Contract DetailSANTA BARBARA SPECIALTY PHARMACY LLC4690 CARPINTERIA AVE STE B
CARPINTERIACA9301310/12/202301/01/2024  01/01/2024
Contract DetailSCOTT-WILSON, INC.DBA BIOSCRIP INFUSION SERVICES 2380 FORTUNE DRIVE
SUITE 130 		LEXINGTONKY4050910/18/201210/18/2012  11/02/2016
Contract DetailWAL-MART CENTRAL FILL 10-2670608 SPRING HILL DR # 3 SUITE 300
SPRINGTX7738610/15/201901/01/2020  01/01/2020
Contract DetailWAL-MART PHARMACY #10-0493305 LETTON DRIVE
PARISKY4036101/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY #10-0519591 JOSEPH DRIVE
HARRODSBURGKY4033001/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY #10-1139200 WAL-MART WAY
MOREHEADKY4035101/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-05071000 BYPASS NORTH
LAWRENCEBURGKY4034201/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-0571112 OSBORNE WAY
GEORGETOWNKY4032401/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-0591805 US 27 SOUTH
CYNTHIANAKY4103101/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-0689177 WASHINGTON DR
SOMERSETKY4250110/12/202301/01/2024  01/01/2024
Contract DetailWAL-MART PHARMACY 10-0692100 WALTON AVENUE
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Contract DetailWAL-MART PHARMACY 10-06931589 KY HWY 15 SOUTH
JACKSONKY4133910/12/202301/01/2024  01/01/2024
Contract DetailWAL-MART PHARMACY 10-07021859 BYPASS ROAD
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Contract DetailWAL-MART PHARMACY 10-0719820 EASTERN BYPASS
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Contract DetailWAL-MART PHARMACY 10-0720301 LEONARD WOOD ROAD
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STANFORDKY4048410/12/202301/01/2024  01/01/2024
Contract DetailWAL-MART PHARMACY 10-11131851 WEST HWY 192
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Contract DetailWAL-MART PHARMACY 10-1140499 INDIAN MOUND DRIVE
MOUNT STERLINGKY4035301/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-1190120 JILL DRIVE
BEREAKY4040310/12/202301/01/2024  01/01/2024
Contract DetailWAL-MART PHARMACY 10-12101024 N MAIN STREET
NICHOLASVILLEKY4035601/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-1247120 DANIEL BOONE PLAZA
HAZARDKY4170101/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-1569240 WAL-MART WAY
MAYSVILLEKY4105601/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-1743201 WALTON ROAD
HARLANKY4083101/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-20603180 RICHMOND ROAD
LEXINGTONKY4050901/05/201704/01/2017 03/02/202303/07/2023
Contract DetailWAL-MART PHARMACY 10-26284051 NICHOLASVILLE ROAD
LEXINGTON (SW)KY4050301/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-2783500 WEST NEW CIRCLE ROAD
LEXINGTON (NE)KY4051101/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-38942350 GREY LAG WAY ROAD
LEXINGTONKY4050901/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-44134230 SARON DRIVE
LEXINGTONKY4051501/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-46073735 PALOMAR CENTER DRIVE
LEXINGTONKY40513-114501/05/201704/01/2017  01/05/2017
Contract DetailWAL-MART PHARMACY 10-59979600 PARKSOUTH CT. SUITE 100
ORLANDOFL3283710/15/201901/01/2020  01/01/2020
Contract DetailWALGREEN CODBA: WALGREENS #11796 220 RICHMOND RD N
BEREAKY4040301/04/201804/01/2018  01/04/2018
Contract DetailWALGREEN CODBA: WALGREENS #10889 2045 BYPASS RD
WINCHESTERKY40391-330901/04/201804/01/2018  01/04/2018
Contract DetailWALGREEN CODBA: WALGREENS #12152 1775 HIGHWAY 192 W
LONDONKY4074110/12/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 09712 901 N MAIN ST
NICHOLASVILLEKY40356-230901/04/201804/01/2018  01/04/2018
Contract DetailWALGREEN CO.DBA: WALGREENS #12075 926 S BROADWAY
GEORGETOWNKY4032401/04/201804/01/2018  01/04/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 07093 3001 PINK PIGEON PARKWAY
LEXINGTONKY4050901/04/201804/01/2018  01/04/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 05574 260 E NEW CIRCLE ROAD
LEXINGTONKY4050501/04/201804/01/2018 02/24/202502/24/2025
Contract DetailWALGREEN CO.DBA: WALGREENS #15561 501 CAPERTON DR.
RICHMONDKY4047501/04/201804/01/2018  01/04/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 09857 110 TOWN CENTRE DR
LEXINGTONKY40511-202701/04/201804/01/2018  01/04/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 10776 2209 RICHMOND RD
LEXINGTONKY4050201/04/201804/01/2018  01/04/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 10206 2290 NICHOLASVILLE RD
LEXINGTONKY40503-241801/04/201804/01/2018  01/04/2018
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FRANKFORTKY4060101/04/201804/01/2018  01/04/2018
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LEXINGTONKY40517-124901/04/201804/01/2018 12/05/202412/05/2024
Contract DetailWALGREEN CO.DBA: WALGREENS #16036 2001 HARRODSBURG RD
LEXINGTONKY4050401/04/201804/01/2018  01/04/2018
Contract DetailWALGREEN CO.WALGREENS #18109 1307 WINCHESTER RD
LEXINGTONKY40505-412402/02/201802/05/2018 11/09/202011/12/2020
Contract DetailWALGREEN CO.WALGREENS #17142 6401 POLO CLUB LN
LEXINGTONKY4050902/02/201802/05/2018  02/05/2018
Contract DetailWALGREEN CO.WALGREENS #19741 3120 PIMLICO PKWY
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Contract DetailWALGREEN CO.RITE AID #03347 130 W LOUDON AVE
LEXINGTONKY4050802/02/201802/05/2018 06/04/201906/06/2019
Contract DetailWALGREEN CO.WALGREENS #18059 100 HOLLY HILLS MALL RD
HINDMANKY4182202/02/201802/05/2018  02/05/2018
Contract DetailWALGREEN CO.WALGREENS #19672 4101 TATES CREEK CENTRE DR
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LAWRENCEBURGKY4034202/02/201802/05/2018  02/05/2018
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LEXINGTONKY4050402/02/201802/05/2018 11/10/202111/18/2021
Contract DetailWALGREEN CO.RITE AID #03939 101 EASTWOOD SHOPPING CTR
FRANKFORTKY4060102/02/201802/05/2018 05/15/201905/15/2019
Contract DetailWALGREEN CO.WALGREENS #17138 104 PEDRO WAY
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Contract DetailWALGREEN CO.WALGREENS #17445 110 RICHMOND RD
IRVINEKY4033602/02/201802/05/2018  02/05/2018
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RICHMONDKY4047502/02/201802/05/2018 06/03/201906/06/2019
Contract DetailWALGREEN CO.WALGREENS #17150 1401 KEENE RD
NICHOLASVILLEKY4035602/02/201802/05/2018  02/05/2018
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NICHOLASVILLEKY4035602/02/201802/05/2018 12/05/202412/05/2024
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STE 80 		LEXINGTONKY4051302/02/201802/05/2018  02/05/2018
Contract DetailWALGREEN CO.WALGREENS #18010 380 W MAIN ST
MOREHEADKY4035110/12/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.WALGREENS #18171 125 N MAIN ST
STANTONKY4038010/12/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.WALGREENS #19673 629 US HIGHWAY 27 S
CYNTHIANAKY4103110/12/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 07664 600 S HWY 27
SOMERSETKY42501-350610/12/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.WALGREENS #17162 21287 HIGHWAY 421
PO BOX 1665 		HYDENKY4174910/12/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.WALGREENS #17180 1040 RICHMOND ST
MOUNT VERNONKY4045610/12/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.WALGREENS #19411 654 UNIVERSITY SHOPPING CTR
RICHMONDKY4047510/12/202301/01/2024 02/26/202502/26/2025
Contract DetailWALGREEN CO.WALGREENS #17374 525 PRESTONSBURG ST
WEST LIBERTYKY4147210/12/202301/01/2024  01/01/2024
Contract DetailWALGREEN CO.WALGREENS #19026 426 VILLAGE LN
HAZARDKY4170110/12/202301/01/2024 09/30/202410/21/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 09856 385 VERSAILLES RD
FRANKFORTKY4060110/12/202301/01/2024  01/01/2024
Contract DetailWalgreens #21423Walgreens Central Fill #21423 6275 Winchester Blvd
Canal WInchesterOH43110-653710/12/202301/01/2024  01/01/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527501/04/201804/01/2018  01/04/2018
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700801/04/201804/01/2018 10/01/202110/18/2021
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818801/04/201804/01/2018  01/04/2018
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503301/04/201804/01/2018  01/04/2018
Contract DetailWALMART PHARMACY 10-51692252 NORTH 8TH STREET
SUITE A 		ROGERSAR7275601/17/202304/01/2023  04/01/2023
Contract DetailWALMART PHARMACY 10-72591001 CHERRY BLOSSOM WAY GATE 7
GEORGETOWNKY4032401/05/201704/01/2017  01/05/2017
Contract DetailWalmart Pharmacy 10-76112501 Perry Rd
PlainfieldIN4616810/12/202301/01/2024  01/01/2024
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH180067AAChildDSHUNIVERSITY OF KENTUCKYUniversity of Kentucky Hospital Kentucky Neuroscience InstituteKentucky Clinic, First floor, Wing CLexingtonKYActive
DSH180067ABChildDSHUNIVERSITY OF KENTUCKYKentucky Children's Hospital Hematology Oncology ClinicKentucky Children's Hospital, UK Chandler Hospital - Pavilion HA, 4th FloorLexingtonKYActive
DSH180067ACChildDSHUNIVERSITY OF KENTUCKYUniversity of Kentucky Hospital Transplant & Specialty Clinic3 Audobon Plaza DrLouisvilleKYActive
DSH180067ADChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Interventional Pain Associates2400 Greatstone PointLexingtonKYActive
DSH180067AEChildDSHUNIVERSITY OF KENTUCKYUniversity of Kentucky Hospital Orthopedic Surgery, Physical and Occupational TherapyKentucky Clinic, Wing C, Room D135LexingtonKYActive
DSH180067AFChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Good Samaritan Cardiopulmonary Rehabilitation135 E. Maxwell StreetLexingtonKYActive
DSH180067AGChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Good Samaritan Sleep Disorders Center310 S. LimestoneLexingtonKYActive
DSH180067AHChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Good Samaritan Echo Service / University of Kentucky Echo Services125 E. Maxwell StreetLexingtonKYActive
DSH180067AJChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Good Samaritan OB-GYN Ultrasound Services / UK Obstetrics & Gynecology Ultrasound125 E. Maxwell StreetLexingtonKYActive
DSH180067AKChildDSHUNIVERSITY HOSPITALUK APPALACHIAN HEART CENTER90 BALL PARK RDHARLANKYTerminated
DSH180067ALChildDSHUNIVERSITY HOSPITALUK APPALACHIAN HEART CENTER200 MEDICAL CENTER DR 2AHAZARDKYTerminated
DSH180067AMChildDSHUNIVERSITY OF KENTUCKYUKHC POLK DALTON CLINIC217 ELM TREE LNLEXINGTONKYActive
DSH180067ANChildDSHUNIVERSITY OF KENTUCKYUK Transplant ClinicKentucky Clinic, Third Floor, Wing D, Room J301LexingtonKYActive
DSH180067APChildDSHUNIVERSITY OF KENTUCKYNICU Graduate Clinic740 South LimestoneLexingtonKYTerminated
DSH180067AQChildDSHUNIVERSITY OF KENTUCKYUK Infusion Center 800 Rose StreetLexingtonKYActive
DSH180067ARChildDSHUNIVERSITY OF KENTUCKYPEDIATRIC SPECIALTYSECOND FLOOR, WING DLEXINGTONKYActive
DSH180067ASChildDSHUNIVERSITY OF KENTUCKYBen F. Roach Cancer Center Facility - Multidisciplinary Clinic - Head, Neck and Respiratory Clinic800 Rose St - 2nd FloorLexingtonKYActive
DSH180067ATChildDSHUNIVERSITY OF KENTUCKYMARKEY CANCER CENTER @ LEX CLINIC - Markey Lexington Clinic - Oncology2195 Harrodsburg RdLEXINGTONKYActive
DSH180067AUChildDSHUNIVERSITY OF KENTUCKYUK HEALTHCARE MEDICINE SPECIALTIES - Medicine Specialties740 S LIMESTONELEXINGTONKYActive
DSH180067AVChildDSHUNIVERSITY OF KENTUCKYPhysical Medicine & Rehabilitation Clinic - Orthopedic Clinic Ambulatory2050 Versailles RdLexingtonKYActive
DSH180067AWChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Physical Therapy - Physical Therapy125 E. Maxwell St.LexingtonKYActive
DSH180067AXChildDSHUNIVERSITY OF KENTUCKYUKHC NEPHROLOGY - UKHC NEPHROLOGY135 E MAXWELL STLEXINGTONKYActive
DSH180067AYChildDSHUNIVERSITY OF KENTUCKYUKHC CARDIOVASCULAR AND THORACIC SU - UKHC CARDIOVASCULAR AND THORACIC SURGERY740 S LIMESTONELEXINGTONKYActive
DSH180067AZChildDSHUNIVERSITY OF KENTUCKYUKHC PSYCHIATRIC AND BEH HEALTH CAR - UKHC PSYCHIATRIC AND BEHAVIORAL HEALTH CARE245 FOUNTAIN CTLEXINGTONKYActive
DSH180067BChildDSHUNIVERSITY OF KENTUCKYUK GOOD SAMARITAN HOSPITAL310 S. LIMESTONE STREETLEXINGTONKYActive
DSH180067BAChildDSHUNIVERSITY OF KENTUCKYPOLK DALTON FAMILY CARE CENTER - UKHC Pediatrics - Family Care Center1135 HARRY SYKES WAYLEXINGTONKYToBeTerminated
DSH180067BBChildDSHUNIVERSITY OF KENTUCKYUKHC WOMEN'S HEALTH - UKHC WOMEN'S HEALTH740 S LIMESTONELEXINGTONKYActive
DSH180067BCChildDSHUNIVERSITY OF KENTUCKYUKHC INTERNAL MEDICINE - UKHC INTERNAL MEDICINE830 S LIMESTONELEXINGTONKYActive
DSH180067BDChildDSHUNIVERSITY OF KENTUCKYUKHC BARNSTABLE BROWN DIABETES CENT - Barnstable Brown Diabetes Center - Adult, Peds and Education Ctr2195 HARRODSBURG RDLEXINGTONKYActive
DSH180067BEChildDSHUNIVERSITY OF KENTUCKYGILL HEART AND VASCULAR INSTITUTE @ - GILL HEART AND VASCULAR INSTITUTE @ MAXWELL125 E MAXWELL STLEXINGTONKYActive
DSH180067BFChildDSHUNIVERSITY OF KENTUCKYUKHC GYNECOLOGIC ONCOLOGY - UKHC GYNECOLOGIC ONCOLOGY800 ROSE STLEXINGTONKYActive
DSH180067BGChildDSHUNIVERSITY OF KENTUCKYUKHC FAMILY & COMMUNITY MEDICINE - UKHC FAMILY & COMMUNITY MEDICINE2195 HARRODSBURG RDLEXINGTONKYActive
DSH180067BHChildDSHUNIVERSITY OF KENTUCKYUKHC UNIVERSITY HEALTH SERVICES - UKHC UNIVERSITY HEALTH SERVICES830 S LIMESTONELEXINGTONKYActive
DSH180067BJChildDSHUNIVERSITY OF KENTUCKYUKHC Speech Language Pathology - UKHC Speech Language Pathology135 E. Maxwell St.LexingtonKYActive
DSH180067BKChildDSHUNIVERSITY OF KENTUCKYUKHC HAND THERAPY - Hand Therapy2195 HARRODSBURG RDLEXINGTONKYActive
DSH180067BLChildDSHUNIVERSITY OF KENTUCKYUKHC HAND CENTER - Hand Surgery Clinic2195 HARRODSBURG RDLEXINGTONKYActive
DSH180067BMChildDSHUNIVERSITY OF KENTUCKYUKHC KNI CHILD NEUROLOGY - Child Neuro Clinic2195 HARRODSBURG RDLEXINGTONKYActive
DSH180067BNChildDSHUNIVERSITY OF KENTUCKYUKHC GENERAL SURGERY - UKHC General Surgery Clinic740 SOUTH LIMESTONELEXINGTONKYActive
DSH180067BPChildDSHUNIVERSITY OF KENTUCKYUKHC UROLOGY - UKHC Urology Clinic740 SOUTH LIMESTONELEXINGTONKYActive
DSH180067BQChildDSHUNIVERSITY OF KENTUCKYUKH SPECIALTY CARE CLINIC @ MAXWELL - SPECIALTY CARE CLINIC @ MAXWELL135 EAST MAXWELL STLEXINGTONKYActive
DSH180067BRChildDSHUNIVERSITY OF KENTUCKYUKHC GENERAL PEDIATRICS - Pediatrics2400 GREATSTONE PTLEXINGTONKYActive
DSH180067BSChildDSHUNIVERSITY OF KENTUCKYUKHC DISCHARGE CLINIC - UKHC DISCHARGE CLINIC2195 HARRODSBURG RDLEXINGTONKYActive
DSH180067BTChildDSHUNIVERSITY OF KENTUCKYVASCULAR & INTERVENTIONAL RADIOLOGY - UKHC VASCULAR & INTERVENTIONAL RADIOLOGY740 S. LIMESTONELEXINGTONKYActive
DSH180067BUChildDSHUNIVERSITY OF KENTUCKYUK Urgent Care Turfland - UK Urgent Care Turfland2195 Harrodsburg RdLexingtonKYActive
DSH180067BVChildDSHUNIVERSITY OF KENTUCKYGeorgetown Family & Community Medicine - Georgetown Family & Community Medicine202 Bevins LaneGeorgetownKYActive
DSH180067BWChildDSHUNIVERSITY OF KENTUCKYGS MOB Urology - GS MOB Urology125 East Maxwell St.LexingtonKYActive
DSH180067BXChildDSHUNIVERSITY OF KENTUCKYTurfland Plastic and Reconstructive Surgery - Turfland Plastic and Reconstructive Surgery2195 Harrodsburg RdLexingtonKYActive
DSH180067BYChildDSHUNIVERSITY OF KENTUCKYUK Fountain Court Primary and Urgent Care Clinic - UK Fountain Court Primary and Urgent Care Clinic245 Fountain CourtLexingtonKYActive
DSH180067BZChildDSHUNIVERSITY OF KENTUCKYGS MOB Surgery - GS MOB Surgery125 East Maxwell St.LexingtonKYActive
DSH180067CChildDSHUNIVERSITY OF KENTUCKYMarylou Whitney and John Hendrickson Cancer Facility for Women - Outpatient Infusion Suite800 Rose StLexingtonKYActive
DSH180067CAChildDSHUNIVERSITY OF KENTUCKYTeam Blue Primary Care - Team Blue Primary Care2400 Greatstone PointLexingtonKYActive
DSH180067CBChildDSHUNIVERSITY OF KENTUCKYTurfland General and Weight Loss Surgery Clinic - Turfland General and Weight Loss Surgery Clinic2195 Harrodsburg RdLexingtonKYActive
DSH180067CCChildDSHUNIVERSITY OF KENTUCKYPEDIATRIC DIAGNOSTIC & INFUSION CLI - PEDIATRIC DIAGNOSTIC & INFUSION CLI740 S LIMESTONELEXINGTONKYActive
DSH180067CDChildDSHUNIVERSITY OF KENTUCKYMARKEY CANCER CNTR AT LEX CL RICHMO - MARKEY CANCER CNTR AT LEX CL RICHMO2019 CORPORATE DRRICHMONDKYActive
DSH180067CEChildDSHUNIVERSITY OF KENTUCKYKENTUCKY CHILDREN'S RICHMOND ROAD - KENTUCKY CHILDREN'S RICHMOND ROAD1900 RICHMOND RDLEXINGTONKYActive
DSH180067CFChildDSHUNIVERSITY OF KENTUCKYBONE MINERAL AND METABOLISM - BONE MINERAL AND METABOLISM135 E MAXWELL STLEXINGTONKYActive
DSH180067CGChildDSHUNIVERSITY OF KENTUCKYCancer Acute Treatment Clinic at Markey Cancer Center - Cancer Acute Treatment Clinic at Markey Cancer Center800 Rose Street, 2nd FloorLexingtonKYActive
DSH180067CHChildDSHUNIVERSITY OF KENTUCKYUKHC COMPREHENSIVE VASCULAR CLINIC - UKHC COMPREHENSIVE VASCULAR CLINIC740 S LIMESTONELEXINGTONKYActive
DSH180067DChildDSHUNIVERSITY OF KENTUCKYMarylou Whitney and John Hendrickson Cancer Facility for Women - Breast Care Center232 Whitney Hendrickson BuildingLexingtonKYActive
DSH180067EChildDSHUNIVERSITY OF KENTUCKYMarylou Whitney and John Hendrickson Cancer Facility for Women - Multidisciplinary Clinic800 Rose StLexingtonKYActive
DSH180067FChildDSHUNIVERSITY OF KENTUCKYBen F. Roach Cancer Center Facility - Markey Hematologic Clinic750 Rose StLexingtonKYActive
DSH180067GChildDSHUNIVERSITY OF KENTUCKYBen F. Roach Cancer Center Facility - Radiation Medicine Clinic750 Rose StLexingtonKYActive
DSH180067HChildDSHUNIVERSITY OF KENTUCKYBen F. Roach Cancer Center Facility - UK Gamma Knife Center 750 Rose StLexingtonKYActive
DSH180067JChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Hospital Endoscopy310 S. Limestone StLexingtonKYActive
DSH180067KChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Hospital Pre-Op310 S. Limestone StLexingtonKYToBeTerminated
DSH180067LChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Hospital Post-Op310 S. Limestone StLexingtonKYActive
DSH180067MChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Hospital Operating Room310 S. Limestone StLexingtonKYActive
DSH180067NChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Hospital Emergency Room310 S. Limestone StLexingtonKYActive
DSH180067PChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Hospital Computed Tomography 310 S. Limestone StLexingtonKYActive
DSH180067QChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Hospital Interventional Radiology135 E Maxwell St, Suite 301LexingtonKYToBeTerminated
DSH180067RChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Hospital Nuclear Medicine310 S. Limestone StLexingtonKYActive
DSH180067SChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Sports Physical Therapy2195 Harrodsburg Rd.LexingtonKYActive
DSH180067TChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Kentucky Neurosciences Institute Clinic - ElectroencephalographyKentucky Clinic, First floor, Wing CLexingtonKYActive
DSH180067UChildDSHUNIVERSITY OF KENTUCKYUK Good Samaritan Hospital Radiology310 S. Limestone StLexingtonKYActive
DSH180067VChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Good Samaritan Diagnostic Center135 E. Maxwell StreetLexingtonKYActive
DSH180067WChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Good Samaritan Wound Care Center135 E. Maxwell StreetLexingtonKYTerminated
DSH180067XChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Pre-Op ClinicKentucky Clinic, First Floor, Wing D, Room J111LexingtonKYActive
DSH180067YChildDSHUNIVERSITY OF KENTUCKYUK HealthCare Pediatric CardiologyKentucky Clinic, Second Floor, Wing DLexingtonKYActive
DSH180067ZChildDSHUNIVERSITY OF KENTUCKYUniversity of Kentucky Hospital Kentucky Clinic RadiologyKentucky Clinic, First floor, Wing CLexingtonKYActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsAuthorizing OfficialUpdateAO Change RequestSwartz, Colleen Hope Vice President for Hospital Operations University of Kentucky HealthCare 8593614496Slocum, Timothy Andrew Senior Vice President & Chief Operations Officer UK HealthCare 85925741192/9/2025 12:22 PM
DetailsLast Recertification DateUpdateRecertification8/31/2023 3:13:32 PM8/15/2024 11:12:46 AM8/15/2024 11:12 AM
AddressesShipping AddressInsertChange Request Safecor Health 4060 Business Park Dr Ste B Columbus, OH 432047/11/2024 7:39 AM
AddressesShipping AddressInsertRecertification UK - Markey Cancer Center Pharmacy at Lexington Clinic 2019 CORPORATE DR RICHMOND, KY 404758/31/2023 3:13 PM
DetailsLast Recertification DateUpdateRecertification8/30/2022 4:13:03 PM8/31/2023 3:13:32 PM8/31/2023 3:13 PM
AddressesShipping AddressInsertChange Request UKHEALTHCARE GOOD SAMARITAN PHARMACY - Hospital 310 S LIMESTONE ST Lexington, KY 405083/6/2023 7:58 AM
Medicaid BillingNPI: NumberInsertChange Request 12752917599/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request OH9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 17803422469/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request OH9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 12752917599/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request KY9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 17803422469/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request KY9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 12752917599/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request WV9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 17803422469/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request WV9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 12752917599/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request IN9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 17803422469/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request IN9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 12752917599/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request TN9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 17803422469/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request TN9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 12752917599/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request VA9/29/2022 4:38 PM
Medicaid BillingNPI: NumberInsertChange Request 17803422469/29/2022 4:38 PM
Medicaid BillingNPI: StateInsertChange Request VA9/29/2022 4:38 PM
DetailsLast Recertification DateUpdateRecertification9/7/2021 4:10:17 PM8/30/2022 4:13:03 PM8/30/2022 4:13 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestSwartz, Colleen Hope Chief Nurse Executive/Chief Administrative Officer University of Kentucky HealthCare 8593614496Swartz, Colleen Hope Vice President for Hospital Operations University of Kentucky HealthCare 85936144968/29/2022 1:25 PM
ContactsPrimary ContactUpdateProfile Change RequestAlmeter, Philip J Enterprise Director, Pharmacy Services University of Kentucky 8593231088Almeter, Philip J Chief Pharmacy Officer University of Kentucky 85932310888/29/2022 10:32 AM
AddressesShipping AddressInsertChange Request UK – Fountain Court Clinic Pharmacy 245 Fountain Court Lexington, KY 405091/13/2022 9:39 AM
AddressesShipping AddressInsertChange Request UK – The Apothecary 160 Avenue of Champions Lexington, KY 405081/13/2022 9:39 AM
AddressesShipping AddressDeleteChange RequestUniversity of Kentucky - Whitney Hendrickson BLDG 740 Rose Street RM 219 Markey Outpatient Pharmacy Lexington, KY 40536 9/17/2021 12:48 PM
AddressesShipping AddressUpdateChange RequestUK Bluegrass Clinic Pharmacy 3101 Beaumont Centre Circle Room 135 Lexington, KY 40513UK Bluegrass Clinic Pharmacy 3101 Beaumont Centre Circle Lexington, KY 405139/17/2021 12:48 PM
AddressesShipping AddressUpdateChange RequestUK Specialty Pharmacy 800 Rose Street Room HC201 Lexington, KY 40536UK - Markey Outpatient Chemotherapy Infusion Pharmacy 800 Rose Street Room HC201 Lexington, KY 405369/17/2021 12:48 PM
Medicaid BillingNPI: NumberInsertChange Request 13367284509/17/2021 12:48 PM
Medicaid BillingNPI: StateInsertChange Request OH9/17/2021 12:48 PM
Medicaid BillingNPI: NumberInsertChange Request 13367284509/17/2021 12:48 PM
Medicaid BillingNPI: StateInsertChange Request KY9/17/2021 12:48 PM
Medicaid BillingNPI: NumberInsertChange Request 13367284509/17/2021 12:48 PM
Medicaid BillingNPI: StateInsertChange Request WV9/17/2021 12:48 PM
Medicaid BillingNPI: NumberInsertChange Request 13367284509/17/2021 12:48 PM
Medicaid BillingNPI: StateInsertChange Request IN9/17/2021 12:48 PM
Medicaid BillingNPI: NumberInsertChange Request 13367284509/17/2021 12:48 PM
Medicaid BillingNPI: StateInsertChange Request TN9/17/2021 12:48 PM
Medicaid BillingNPI: NumberInsertChange Request 13367284509/17/2021 12:48 PM
Medicaid BillingNPI: StateInsertChange Request VA9/17/2021 12:48 PM
AddressesShipping AddressInsertRecertification UK Bluegrass Clinic Pharmacy 3101 Beaumont Centre Circle Room 135 Lexington, KY 405139/7/2021 4:10 PM
DetailsLast Recertification DateUpdateRecertification9/3/2020 12:14:33 PM9/7/2021 4:10:17 PM9/7/2021 4:10 PM
Medicaid BillingNPI: NumberDeleteRecertification1073609731 ( ) 9/3/2020 12:14 PM
Medicaid BillingNPI: NumberDeleteRecertification1174967269 ( ) 9/3/2020 12:14 PM
Medicaid BillingNPI: NumberDeleteRecertification1326489071 ( ) 9/3/2020 12:14 PM
Medicaid BillingNPI: NumberDeleteRecertification1386057990 ( ) 9/3/2020 12:14 PM
Medicaid BillingNPI: NumberDeleteRecertification1114305307 ( ) 9/3/2020 12:14 PM
Medicaid BillingNPI: NumberDeleteRecertification1295190833 ( ) 9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 10736097319/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification OH9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11143053079/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification OH9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11749672699/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification OH9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 12951908339/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification OH9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13264890719/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification OH9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13860579909/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification OH9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 15189113389/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification OH9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 10736097319/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification KY9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11143053079/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification KY9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11749672699/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification KY9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 12951908339/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification KY9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13264890719/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification KY9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13860579909/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification KY9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 15189113389/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification KY9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 10736097319/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification WV9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11143053079/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification WV9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11749672699/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification WV9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 12951908339/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification WV9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13264890719/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification WV9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13860579909/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification WV9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 15189113389/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification WV9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 10736097319/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification IN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11143053079/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification IN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11749672699/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification IN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 12951908339/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification IN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13264890719/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification IN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13860579909/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification IN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 15189113389/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification IN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 10736097319/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification TN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11143053079/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification TN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11749672699/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification TN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 12951908339/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification TN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13264890719/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification TN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13860579909/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification TN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 15189113389/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification TN9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 10736097319/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification VA9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11143053079/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification VA9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 11749672699/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification VA9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 12951908339/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification VA9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13264890719/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification VA9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 13860579909/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification VA9/3/2020 12:14 PM
Medicaid BillingNPI: NumberInsertRecertification 15189113389/3/2020 12:14 PM
Medicaid BillingNPI: StateInsertRecertification VA9/3/2020 12:14 PM
Medicaid BillingNPI: NumberDeleteRecertification1518911338 ( ) 9/3/2020 12:14 PM
DetailsLast Recertification DateUpdateRecertification9/9/2019 3:01:32 PM9/3/2020 12:14:33 PM9/3/2020 12:14 PM
AddressesShipping AddressInsertChange Request UK Specialty Pharmacy 531 Wellington Way Lexington, KY 405031/22/2020 1:41 PM
Medicaid BillingNPI: NumberInsertChange Request 10736097311/15/2020 4:09 PM
Medicaid BillingNPI: NumberInsertChange Request 11749672691/15/2020 4:09 PM
Medicaid BillingNPI: NumberInsertChange Request 13264890711/15/2020 4:09 PM
Medicaid BillingNPI: NumberInsertChange Request 13860579901/15/2020 4:09 PM
Medicaid BillingNPI: NumberInsertChange Request 11143053071/15/2020 4:09 PM
Medicaid BillingNPI: NumberInsertChange Request 12951908331/15/2020 4:09 PM
DetailsLast Recertification DateUpdateRecertification8/22/2018 11:46:49 AM9/9/2019 3:01:32 PM9/9/2019 3:01 PM
ContactsAuthorizing OfficialUpdateAO Change RequestCofield, Robert VP & Chief Clinical Operations Officer University of Kentucky 8592574368Swartz, Colleen Hope Chief Nurse Executive/Chief Administrative Officer University of Kentucky HealthCare 859361449611/14/2018 1:47 PM
DetailsLast Recertification DateUpdateRecertification11/15/2017 9:03:23 PM8/22/2018 11:46:49 AM8/22/2018 11:46 AM
ContactsPrimary ContactInsertRecertification Almeter, Philip J Enterprise Director, Pharmacy Services University of Kentucky 859323108811/15/2017 9:03 PM
DetailsLast Recertification DateUpdateRecertification8/11/2016 12:00:00 AM11/15/2017 9:03:23 PM11/15/2017 9:03 PM
ContactsAuthorizing OfficialUpdate Cofield, Robert VP & Chief Clinical Operations Officer 8592574368Cofield, Robert VP & Chief Clinical Operations Officer University of Kentucky 859257436810/15/2017 7:53 PM
ContactsAuthorizing OfficialInsert  Cofield, Robert VP & Chief Clinical Operations Officer 85925743687/3/2017 11:11 AM
AddressesMain AddressInsert   800 ROSE STREET LEXINGTON, KY 405363/14/2017 1:36 PM
AddressesBilling AddressInsert  UK Healthcare, Accounting 2347 Sterlington Rd. Ste 300 Lexington, KY 40517-40243/14/2017 1:36 PM
AddressesShipping AddressInsert  UK HOSPITAL- KENTUCKY CLINIC PHARMACY 740 SOUTH LIMESTONE, J-134 KENTUCKY CLINIC LEXINGTON, KY 405363/14/2017 1:36 PM
AddressesShipping AddressInsert  University of Kentucky Hospital Pharmacy UK Chandler Hospital 1000 South Limestone Street Lexington, KY 405363/14/2017 1:36 PM
AddressesShipping AddressInsert  Chandler Retail Pharmacy 1000 South Limestone Street Room A.01.114 Lexington, KY 405363/14/2017 1:36 PM
AddressesShipping AddressInsert  UK University Health Pharmacy 830 South Limestone Street Lexington, KY 405363/14/2017 1:36 PM
AddressesShipping AddressInsert  UNIVERSITY OF KENTUCKY-GOOD SAMARITAN RETAIL PHARMACY 310 SOUTH LIMESTONE STREET LEXINGTON, KY 405083/14/2017 1:36 PM
AddressesShipping AddressInsert  UK Pharmacy Services - Turfland 2195 Harrodsburg Road Lexington, KY 405043/14/2017 1:36 PM
AddressesShipping AddressInsert  UK Specialty Pharmacy 800 Rose Street Room HC201 Lexington, KY 405363/14/2017 1:36 PM
AddressesShipping AddressInsert  University of Kentucky - Whitney Hendrickson BLDG 740 Rose Street RM 219 Markey Outpatient Pharmacy Lexington, KY 405363/14/2017 1:36 PM
DetailsLast Recertification DateUpdate 8/5/2015 12:00:00 AM8/11/2016 12:00:00 AM8/11/2016 9:29 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False1/12/2016 4:12 PM
Medicaid BillingMedicaid: NumberInsert  100069710A1/12/2016 4:12 PM
Medicaid BillingMedicaid: StateInsert  IN1/12/2016 4:12 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False1/12/2016 4:12 PM
Medicaid BillingMedicaid: NumberInsert  00230851/12/2016 4:12 PM
Medicaid BillingMedicaid: StateInsert  OH1/12/2016 4:12 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False1/12/2016 4:12 PM
Medicaid BillingMedicaid: NumberInsert  91800921/12/2016 4:12 PM
Medicaid BillingMedicaid: StateInsert  TN1/12/2016 4:12 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False1/12/2016 4:12 PM
Medicaid BillingMedicaid: NumberInsert  98111091/12/2016 4:12 PM
Medicaid BillingMedicaid: StateInsert  VA1/12/2016 4:12 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False1/12/2016 4:12 PM
Medicaid BillingMedicaid: NumberInsert  01740420001/12/2016 4:12 PM
Medicaid BillingMedicaid: StateInsert  WV1/12/2016 4:12 PM
Medicaid BillingNPI: NumberInsert  15189113381/12/2016 4:12 PM
DetailsLast Recertification DateUpdate 8/6/2014 12:00:00 AM8/5/2015 12:00:00 AM8/5/2015 8:25 AM
DetailsLast Recertification DateUpdate 8/19/2013 12:00:00 AM8/6/2014 12:00:00 AM8/6/2014 9:11 AM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM8/19/2013 12:00:00 AM8/19/2013 8:50 AM
Medicaid BillingMedicaid: Is PrimaryInsert  False10/22/2012 10:09 AM
Medicaid BillingMedicaid: NumberInsert  0101397810/22/2012 10:09 AM
Medicaid BillingMedicaid: StateInsert  KY10/22/2012 10:09 AM
DetailsComments PublicInsert  This request is being rejected at this time, ita ppears we need to have a discussion about the 3 hospitals you have listed in the database and their need for further brek out jhardin@hrsa.gov 8/19/03 - NEW MED # (WAS 54108230); 3/21/07 - MOVED SHIP TO ADDR TO CORRECT FIELD9/13/2012 2:53 PM
DetailsEntity SubnameUpdate UK HOSPITAL- KENTUCKY CLINIC PHARMACYUK Chandler Hospital6/25/2012 12:35 PM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM5/26/2012 1:30 PM
DetailsLast Recertification DateInsert   5/11/2010 10:11 AM
DetailsGrant NumberInsert   5/11/2010 10:11 AM
Details340B IDInsert  DSH1800675/11/2010 10:11 AM
DetailsIs Authorizing Official EHB DataInsert   5/11/2010 10:11 AM
DatesLast Date That 340B Drugs PurchasedInsert   5/11/2010 10:11 AM
DetailsMedicare Provider NumberInsert  1800675/11/2010 10:11 AM
DetailsEntity NameInsert  UNIVERSITY OF KENTUCKY5/11/2010 10:11 AM
DetailsProgram CodeInsert  DSH5/11/2010 10:11 AM
DetailsEntity SubnameInsert  UK HOSPITAL- KENTUCKY CLINIC PHARMACY5/11/2010 10:11 AM
DatesParticipating Approval DateInsert  9/6/2007 12:00:00 AM5/11/2010 10:11 AM
DetailsStateInsert  Active5/11/2010 10:11 AM
DatesRegistration DateInsert  9/6/2007 12:00:00 AM5/11/2010 10:11 AM
DatesSigned By DateInsert   5/11/2010 10:11 AM
DatesStart DateInsert  12/1/1992 12:00:00 AM5/11/2010 10:11 AM
TerminationsTermination CommentsInsert   5/11/2010 10:11 AM
TerminationsTermination DateInsert   5/11/2010 10:11 AM
TerminationsTermination Effective DateInsert   5/11/2010 10:11 AM
TerminationsTermination ReasonInsert   5/11/2010 10:11 AM
DetailsComments PublicInsert  8/19/03 - NEW MED # (WAS 54108230); 3/21/07 - MOVED SHIP TO ADDR TO CORRECT FIELD5/11/2010 10:11 AM