KMG PHARMACY LLC (NPI# 1366811630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366811630 |
| Entity Type | Organization |
| Organization Name | KMG PHARMACY LLC |
| Other Organization Name | KMG PHARMACY LLC |
| Practice Address |
846 E Main St Trotwood OH 45426-2911 |
| Practice Telephone | 9375294433 |
| Practice Fax Number | 9377154447 |
| Mailing Telephone | 9375294433 |
| Mailing Fax Number | 9377154447 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | MAHMOUD SHALTAF (OWNER, AO, PHCY MANAGER.) |
| Authorized Official Telephone | 9378291012 |
| Authorized Official Credential | DR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
022532100 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0146319 | 05 | |
| PK | 2152395 | 01 |
| Other Name | Type Code |
|---|---|
| KMG Pharmacy LLC | Doing Business As Name - Organization |
| Street Address |
846 E MAIN ST |
| City | TROTWOOD |
| State | OH |
| Zip Code | 45426-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841842515 | Gwenivere S Brown | Social Worker | 2580 Shiloh Springs Rd #b, Trotwood, OH 45426 | 2019-07-12 |
| 1790146595 | John Parker Moore | Counselor | 1770 Shiloh Springs Rd., Dayton, OH 45426 | 2016-03-08 |
| 1417336587 | Sisterhomehealthcareprovider | Home Health | 5119 Kingsford Av., Dayton, OH 45426 | 2015-05-22 |
| 1164851846 | Ronica Diene | Licensed Practical Nurse | 5324 Greencroft Dr, Dayton, OH 45426 | 2013-11-04 |
| 1568897783 | Shatonne Dianne Jackson | Nursing Facility/Intermediate Care Facility | 616 Ellsworth Dr, Dayton, OH 45426 | 2013-09-06 |
| 1144570318 | Ja'net D Hines | Licensed Practical Nurse | 12 Greacian Ave, Dayton, OH 45426 | 2012-09-14 |
| 1306106422 | Njek Akieh Achu | Home Health | 5909 Macduff Dr Apt 1716, Trotwood, OH 45426 | 2012-05-22 |
| 1518224963 | Edward Harris | Home Health Aide | 4921 Bloomfield Dr, Apt L, Trotwood, OH 45426 | 2012-04-23 |
| 1508134677 | Cedrick D Parks | Pharmacist | 5371 Salem Ave, Trotwood, OH 45426 | 2011-12-05 |
| 1336476308 | Ziks Family Pharmacy Inc 102 | Pharmacy | 4140 Salem Avenue, Dayton, OH 45426 | 2009-11-11 |
| Find all providers in zip 45426 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184727836 | Ohio Cvs Stores LLC | Pharmacy | 1001 E Main St, Trotwood, OH 45426-2449 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335024 | Hux Enterprises | Pharmacy | 641 Hill Rd N Ste C, Pickerington, OH 43147-9346 | 2020-10-30 |
| 1891302626 | Uc Healthcare System | Pharmacy | 222 Piedmont Ave Ste 2000, Cincinnati, OH 45219-4231 | 2020-09-25 |
| 1619580966 | Lcrg Bros LLC | Pharmacy | 7584 E Main St, Reynoldsburg, OH 43068-1208 | 2020-08-26 |
| 1528686763 | Lorain Chemists Inc | Pharmacy | 3815 Lorain Ave, Cleveland, OH 44113-3710 | 2020-07-13 |
| 1699397646 | D & G Partners LLC | Pharmacy | 7623 E Main St, Reynoldsburg, OH 43068-1209 | 2020-05-13 |
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1689200461 | Cross Point Pharmacy | Pharmacy | 800 Cross Pointe Rd Ste P, Gahanna, OH 43230-6690 | 2020-03-12 |
| 1245870864 | Bravo Rx Pharmacy | Pharmacy | 4125 W Broad St # B, Columbus, OH 43228-1600 | 2020-01-11 |
| 1235777350 | Tan Thai Inc | Pharmacy | 4300 Clime Rd Ste 111, Columbus, OH 43228-6491 | 2019-12-19 |
| 1144868597 | Blanchard Valley Regional Health Center | Pharmacy | 930 Sheriden Dr Ste C, Carey, OH 43316-1502 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.