Healthcare Provider Details

I. General information

NPI: 1598861858
Provider Name (Legal Business Name): LEIGH ANN LUCKETT PHARMD, BCPS, BCGP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ZORN AVE LOUISVILLE VAMC , PHARMACY DEPT 119
LOUISVILLE KY
40206-1433
US

IV. Provider business mailing address

55 OSAGE TRL
LOUISVILLE KY
40245-7019
US

V. Phone/Fax

Practice location:
  • Phone: 502-287-5305
  • Fax:
Mailing address:
  • Phone: 502-939-9146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number010852
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: