KETTERING MEDICAL CENTER

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.

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Contact Information

KETTERING MEDICAL CENTER

4000 MIAMISBURG-CENTERVILLE RD
MIAMISBURG, OH 45342

Phone: 937-384-3868
Fax: 937-384-3868
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for KETTERING MEDICAL CENTER

NPI Number 1790859171

LBN Legal business name KETTERING MEDICAL CENTER

Authorized official KEVIN BLACKBURN - (DIRECTOR OF PHARMACY)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/20/2006

Last updated 01/22/2025 - More than a year ago

Identifiers

OH	License #	021076650
OH	Medicaid	2085818
OH	Medicaid	2805818
	Other	3666039	OTHER ID NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KETTERING MEDICAL CENTER

Contact Information

Specialty

Community/Retail Pharmacy

Pharmacy

NPI Profile & details for KETTERING MEDICAL CENTER

Reviews for KETTERING MEDICAL CENTER