KETTERING MEDICAL CENTER – NPI #1790859171
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.

KETTERING MEDICAL CENTER is a pharmacy located in MIAMISBURG, OH. NPPES has assigned the NPI number 1790859171 to KETTERING MEDICAL CENTER on November 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was last updated on Jan 22, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KETTERING MEDICAL CENTER below.

NPI Profile for
KETTERING MEDICAL CENTER

NPI Number
1790859171
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KETTERING MEDICAL CENTER
Other name(s)
All associated names:

Doing Business As (dba)
Kettering Health Pharmacy Miamisburg
Primary location
4000 MIAMISBURG-CENTERVILLE RD
MIAMISBURG, OH 45342
Phone: (937) 384-3868 Fax: (937) 384-3868
Mailing address
4301 LYONS RD.
MIAMISBURG, OH 45342
Phone: (937) 458-4934 Fax: (937) 522-7198
Organization Subpart
Yes - KETTERING MEDICAL CENTER is subpart of another organization.
Authorized Official
KEVIN BLACKBURN
DIRECTOR OF PHARMACY
Phone: (937) 458-4932
Updated
Certification Date
Jan 22, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KETTERING MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherOTHER ID NUMBER3666039
medicaidOH2085818
medicaidOH2805818
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.