KETTERING MEDICAL CENTER


Address: 4000 Miamisburg-centerville Rd, Miamisburg, OH 45342
Phone: 9373843868

KETTERING MEDICAL CENTER (NPI# 1790859171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790859171
Entity Type Organization
Organization Name KETTERING MEDICAL CENTER
Other Organization Name KHN PHARMACY SYCAMORE
Practice Address 4000 Miamisburg-centerville Rd
Miamisburg
OH 45342
Mailing Address 4301 Lyons Rd.
Miamisburg
OH 45342
Practice Telephone 9373843868
Practice Fax Number 9373843868
Mailing Telephone 9374584934
Mailing Fax Number 9375227198
Enumeration Date 2006-11-20
Last Update Date 2020-04-20
Authorized Official Name MR. KEVIN BLACKBURN (DIRECTOR OF PHARMACY)
Authorized Official Telephone 9374584932
Authorized Official Credential RPH
Is Organization Subpart Y
Parent Organization Name KETTERING MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
021076650 OH Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OTHER ID NUMBER 3666039 01
OH 2085818 05
OH 2805818 05

Other Provider/Organization Names

Other Name Type Code
KHN Pharmacy Sycamore Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1487016796 Kettering Medical Center Pharmacy 825 N Main St, Springboro, OH 45066-2100 2016-03-25
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

Office Location

Street Address 4000 MIAMISBURG-CENTERVILLE RD
City MIAMISBURG
State OH
Zip Code 45342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861022261 Stephanie Wuellner Pharmacist 4000 Miamisburg-centerville Rd, Miamisburg, OH 45342 2020-01-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205464229 Cameron Holicki Student in an Organized Health Care Education/Training Program Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 2020-03-27
1699315663 Heather Ann Garrett Behavior Technician 9260 Marketplace Drive, Miamisburg, OH 45342 2020-01-08
1770046443 Makayla Rottet Occupational Therapist 10500 Innovation Way #320, Miamisburg, OH 45342 2019-04-10
1932662780 David Chi Student in an Organized Health Care Education/Training Program 2115 Leiter Road, Miamisburg, OH 45342 2019-04-09
1508339557 John R Striebel Dds Inc Dentist 9200 Marketplace Drive, Miamisburg, OH 45342 2019-01-02
1801382320 Laura Maag Nurse Practitioner 415 Byers Rd Ste 300, Miamisburg, OH 45342 2018-07-09
1659862761 Orion Sports Medicine LLC Physical Therapist 2042 Byers Rd, Miamisburg, OH 45342 2018-05-24
1982101879 Avneek Singh Sandhu Student in an Organized Health Care Education/Training Program Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 2018-04-09
1700386125 Daniel Hendricks Nurse Practitioner 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 2018-02-13
1639692015 Delsean Porter Behavior Technician 2750 Technical Dr, Miamisburg, OH 45342 2017-07-18
Find all providers in zip 45342

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700989464 Ohio Cvs Stores LLC Pharmacy 1205 E Central Ave, Miamisburg, OH 45342-3544 2006-09-07

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City MIAMISBURG
Zip Code 45342

Improve Information

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Dataset Information

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.

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