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KETTERING MEDICAL CENTER NPI 1487016796


NPI Information

NPI: 1487016796
Provider Name: KETTERING MEDICAL CENTER

Doing Business As: KHN PHARMACY SPRINGBORO

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
825 N MAIN ST
SPRINGBORO, OH
ZIP 45066
Phone: (937) 762-5090
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KETTERING MEDICAL CENTER is a community/retail pharmacy pharmacy in Springboro, OH. The provider is 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 NPI is 1487016796. The provider is registered as an organization entity type.
The provider Is Doing Business As Khn Pharmacy Springboro.

The provider's business location address is:

825 N MAIN ST
SPRINGBORO, OH
ZIP 45066-100
Phone: (937) 762-5090
Fax: (937) 762-5091

The provider's authorized official is Kevin Blackburn .
The authorized official title is Director Of Pharmacy and has the following contact phone number (937) 458-4932.

The enumeration date for this NPI number is 3/25/2016 and was last updated on 2/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPMY.022604450-03OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12158450OTHERPK
20171911MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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