Provider Demographics
NPI:1114305307
Name:UNIVERSITY OF KENTUCKY
Entity Type:Organization
Organization Name:UNIVERSITY OF KENTUCKY
Other - Org Name:UK TURFLAND CLINIC PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXEC VP FOR HEALTH AFFAIRS
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:KARPF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-257-9521
Mailing Address - Street 1:2195 HARRODSBURG RD
Mailing Address - Street 2:ROOM T1636
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3504
Mailing Address - Country:US
Mailing Address - Phone:859-257-5899
Mailing Address - Fax:859-323-5594
Practice Address - Street 1:2195 HARRODSBURG RD
Practice Address - Street 2:ROOM T1636
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3504
Practice Address - Country:US
Practice Address - Phone:859-257-5899
Practice Address - Fax:859-323-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP07636333600000X, 3336M0002X
KYP076863336C0002X, 3336C0003X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54008230Medicaid
KY54008230Medicaid