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HAZELWOOD CENTER PHARMACY
NPI 1023193067
Pharmacy - Long Term Care Pharmacy in Louisville, KY

Active since October 26, 2006CLIA 18D0648454 · Waiver
1800 BLUEGRASS AVE, LOUISVILLE, KY 40214(502) 361-2301 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2023, Feb 20, 2018 (2 updates tracked since 2018).

About Hazelwood Center Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZELWOOD CENTER PHARMACY (NPI 1023193067) is a healthcare organization registered as a long term care pharmacy in Louisville, Kentucky and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Katie Marks, Commissioner, as its authorized official.

NPPES Registry Identity

NPI1023193067
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCOMMONWEALTH OF KENTUCKY
Location Address1800 BLUEGRASS AVELouisville, KY 40214
Mailing Address1800 Bluegrass AveLouisville, KY 40214 · (502) 361-2301
Phone(502) 361-2301
Organization SubpartYes
Authorized OfficialKatie MarksCommissioner · (502) 782-6106
Enumeration DateOctober 26, 2006
Last NPPES UpdateOctober 20, 20232 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
✔ NPI 1023193067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in KY · P05011
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
1800 BLUEGRASS AVE, Louisville, KY 40214
Open in Google Maps ↗

Other Names 1

Doing Business AsHazelwood Center Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0648454

Hazelwood Center · Louisville, KY
Active · expires May 14, 2027
CLIA Number18D0648454
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorDr. Sheila M. Kemper
Laboratory Phone(502) 361-2301
Laboratory LocationHazelwood Center1800 Old Bluegrass Ave, Louisville, KY 40215
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGAN BREAM PTA
Physical Therapy Assistant
1800 BLUEGRASS AVE
LOUISVILLE, KY 40214
Jefferson County (502) 361-2301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Commonwealth Of Kentucky's NPI number?

The NPI number for Commonwealth Of Kentucky is 1023193067. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Hazelwood Center Pharmacy.

Where is Commonwealth Of Kentucky located?

Commonwealth Of Kentucky is located at 1800 Bluegrass Ave, Louisville, KY 40214. The listed phone number is (502) 361-2301.

What is Commonwealth Of Kentucky's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Commonwealth Of Kentucky hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0648454) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Commonwealth Of Kentucky accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 37 other insurers list Commonwealth Of Kentucky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Commonwealth Of Kentucky was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.