Pikeville is a city in Pike County, Kentucky, home to about 7,490 people across 22 square miles. Its ZIP code is 41501.
Homes sold for a median of $144 per square foot in the three months ending August 2026, a buyer’s market.
Mostly Pikeville; also Coal Run Village
Each card is that ZIP code’s whole market, including any part outside Pikeville. Seller’s market: under 4 months of supply; buyer’s market: over 6. Methodology
We’re writing up Pikeville’s story and what everyday life there is like, for people thinking about moving in.
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| Nearest major airport | McGhee Tyson Airport (TYS)143 miles away |
|---|---|
| Closer regional airport | Tri-State Airport / Milton J. Ferguson Field (HTS)59 miles away |
| Nearest city of 250,000+ | Lexington-Fayette, KY112 miles away |
| Nearest city of 1 million+ | Chicago, IL406 miles away |
Straight-line distances from the center of Pikeville; driving is longer.
Source: Airports from OurAirports (scheduled passenger service); city centers and populations from the U.S. Census Bureau.
Source: Members of Congress from the congress-legislators project; districts from the Census Bureau’s relationship files; governor and mayor from Wikidata.
Pikeville had 7,754 residents in the 2020 census, up 23% since 2000.
It’s the 63rd largest of 553 towns in Kentucky by population.
Pike County grew from 22,686 residents in 1900 to 58,669 in 2020.
Pike County, 1900–2020
Source: U.S. Census Bureau decennial censuses (counties 1900–1990 from the Bureau’s historical county file).
Average highs peak around 89°F in summer, and winter lows average 26°F. About 48.3 inches of rain and melted snow fall in a typical year, with about 13 inches of snow.
Source: NOAA 1991–2020 climate normals, Williamson, WV weather station (17 miles away).
16,918 jobs at 1,109 businesses in Pike County. The biggest industries by employees:
Source: U.S. Census Bureau County Business Patterns 2023 (private employers; jobs counted where people work).
622 doctors and other health care providers list an office in Pikeville.
Nearest hospitals
Providers with an office here
| Primary care doctors | 94 |
|---|---|
| Specialist doctors | 181 |
| Dentists | 32 |
| Nurse practitioners and physician assistants | 175 |
| Mental health providers | 81 |
| Physical and occupational therapists | 17 |
| Optometrists | 33 |
| Chiropractors | 9 |
| Pharmacies | 31 |
Source: Hospitals from CMS Hospital General Information (ratings are CMS overall star ratings); straight-line distances; providers from the CMS National Plan and Provider Enumeration System (NPPES), by practice address and primary specialty.
Parks (6 nearby)
Grocery stores (2 nearby)
Libraries (2 nearby)
Museums (1 nearby)
Theaters and performance venues (1 nearby)
Counts are within about 3 miles of the center of town.
Source: Map data © OpenStreetMap contributors (openstreetmap.org/copyright), as mapped by volunteers; it can miss places or include closed ones.
Established in 1824.
Notable people born here
Source: Wikidata (wikidata.org), the free knowledge base; people are listed by place of birth.
Public schools here are run by Pike County, Pikeville Independent, Kentucky Tech System. Check each district’s attendance zones for a specific address.
| School | Grades | Students | Type | Distance |
|---|---|---|---|---|
| Johns Creek Elementary SchoolPikeville | Pre-K–8 | 616 | Public | 4.8 mi |
| Millard SchoolPikeville | Pre-K–8 | 601 | Public | 9.9 mi |
| Mullins Elementary SchoolPikeville | Pre-K–8 | 779 | Public | 0.7 mi |
| Pikeville Elementary SchoolPikeville | Pre-K–6 | 611 | Public | 2.7 mi |
| Valley Elementary SchoolPikeville | Pre-K–8 | 844 | Public | 9.4 mi |
| Pike County Day TreatmentPikeville | 5–12 | 14 | Alternative Education | 3.8 mi |
| Northpoint AcademyPikeville | 6–12 | 50 | Alternative Education | 3.8 mi |
| Pike County Virtual AcademyPikeville | 6–12 | 95 | Alternative Education | 0.9 mi |
| Pikeville High SchoolPikeville | 7–12 | 518 | Public | 2.4 mi |
| Millard Area Technology CenterPikeville | 8–12 | — | Career and Technical | 9.9 mi |
| Pike County Central High SchoolPikeville | 9–12 | 561 | Public | 0.9 mi |
| Shelby Valley High SchoolPikeville | 9–12 | 503 | Public | 9.5 mi |
Source: U.S. Department of Education, NCES: Common Core of Data (2024-2025) for public schools. Listed by address; we don’t rate schools.
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Shares ZIP codes with Coal Run Village.
Town boundaries don’t always match ZIP codes: a ZIP code can cross into neighboring towns, and a town can share a ZIP code with its neighbors. Facts describe the town itself; market figures describe whole ZIP codes.