KETTERING MEDICAL CENTER (NPI# 1487016796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487016796 |
| Entity Type | Organization |
| Organization Name | KETTERING MEDICAL CENTER |
| Other Organization Name | KHN PHARMACY SPRINGBORO |
| Practice Address |
825 N Main St Springboro OH 45066-2100 |
| Practice Telephone | 9377625090 |
| Practice Fax Number | 9377625091 |
| Mailing Telephone | 9377625090 |
| Mailing Fax Number | 9375227198 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | KEVIN BLACKBURN (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9374584932 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PMY.022604450-03 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0171911 | 05 | |
| PK | 2158450 | 01 |
| Other Name | Type Code |
|---|---|
| KHN Pharmacy Springboro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629511688 | Kettering Medical Center | Pharmacy | 3700 Southern Blvd Ste 105, Kettering, OH 45429-1226 | 2016-11-23 |
| 1790233195 | Kettering Medical Center | General Acute Care Hospital | 524 Grants Trl, Centerville, OH 45459-3120 | 2016-09-14 |
| 1205005063 | Kettering Medical Center | Pharmacy | 4301 Lyons Rd, Miamisburg, OH 45342 | 2008-02-26 |
| 1790859171 | Kettering Medical Center | Pharmacy | 4000 Miamisburg-centerville Rd, Miamisburg, OH 45342 | 2006-11-20 |
| 1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
| 1467090670 | Kettering Medical Center | Clinic/Center | 450b Washington Jackson Rd Ste 104, Eaton, OH 45320-7601 | 2019-12-18 |
| 1023587045 | Kettering Medical Center | General Acute Care Hospital | 600 W Main St, Troy, OH 45373-2928 | 2018-11-20 |
| 1366508657 | Kettering Medical Center | Clinic/Center | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-12-29 |
| 1871667253 | Kettering Medical Center | Pharmacy | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-11-20 |
| 1336257872 | Kettering Medical Center | Home Health | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2006-08-25 |
| Street Address |
825 N MAIN ST |
| City | SPRINGBORO |
| State | OH |
| Zip Code | 45066-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364911 | Whitney Rondell Rosen | Physician Assistant | 825 N Main St, Ste 140, Springboro, OH 45066-2100 | 2019-09-04 |
| 1497207484 | David Tomlin | Pharmacist | 825 N Main St, Springboro, OH 45066-9810 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609577 | Erica Lynn Ivey | Social Worker | 70 W. South St, Springboro, OH 45066 | 2020-11-02 |
| 1417515305 | Tapestry Springboro Senior Housing Management, LLC | Assisted Living Facility | 8683 Clearcreek Franklin Rd., Springboro, OH 45066 | 2019-06-05 |
| 1073081204 | Chelsea L Zastrow | Nurse Practitioner | 725 N. Main Street, Springboro, OH 45066 | 2018-11-06 |
| 1801378245 | Misty Woods | Nurse Practitioner | 540 W Central Ave., Springboro, OH 45066 | 2018-09-02 |
| 1154860815 | Infinity Chiropractic and Nutrition LLC | Chiropractor | 99 Edgebrooke Dr, Springboro, OH 45066 | 2017-02-14 |
| 1669898409 | Rebecca Miller | Physical Therapist | 195 Kesling Dr., Box 177, Springboro, OH 45066 | 2014-03-17 |
| 1124376157 | Motion Rehabilitation Center, LLC. | Occupational Therapist | 7917 Woodbridge Ct., Springboro, OH 45066 | 2012-08-23 |
| 1881827731 | Caroline Castleforte | Pediatrics | 8815 Glen Abbey Ct., Springboro, OH 45066 | 2009-08-26 |
| 1740453984 | Springboro Family Medicine Inc | Family Medicine | 5 Sycamore Creek Drive, Springboro, OH 45066 | 2008-04-09 |
| 1538389853 | Ohio Dental Professionals Workman, PC | Dentist | 780 North Main St, Springboro, OH 45066 | 2007-04-27 |
| Find all providers in zip 45066 | ||||
| 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 |
|---|---|---|---|---|
| 1821191644 | Ohio Cvs Stores LLC | Pharmacy | 710 N Main St, Springboro, OH 45066-8944 | 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 | ||||
| City | SPRINGBORO |
| Zip Code | 45066 |
Please comment or provide details below to improve the information on KETTERING MEDICAL CENTER.
| 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.