OrganizationActive
Commonwealth of Kentucky
NPI 1124144456 · Pharmacist · Hopkinsville, KY
Provider details
- NPI number
- 1124144456
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Parent organization
- Commonwealth of Kentucky
- Organization subpart
- Yes
- Authorized official
- Stephanie Craycraft, Director(502) 782-6243
- License
- P05010 (KY)
Specialties & taxonomies
Pharmacy Service Providers
Suppliers
Suppliers
- Psychiatric Pharmacist1835P1300X
Pharmacy Service Providers
- Geriatric Pharmacist1835G0303X
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2400 Russellville Road
Hopkinsville, KY 42240
Phone: (270) 889-6025
Fax: (270) 889-5062
Street-level locationGet directions
Mailing address
2400 Russellville Road
Hopkinsville, KY 42240
Other names (DBA / former)
- Doing business as
- Western State Hospital Pharmacy
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2015-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.