COLLABORATIVE PHARMACY SERVICES
NPI 1205005063
Pharmacy - Long Term Care Pharmacy in Miamisburg, OH

Q: What is Kettering Medical Center's NPI number?

The NPI number for Kettering Medical Center is 1205005063. It was assigned to this organization in the NPPES registry on February 26, 2008. The provider is doing business as Collaborative Pharmacy Services.

Q: What is Kettering Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since February 26, 2008

4301 LYONS RD, MIAMISBURG, OH 45342(937) 458-4949(937) 458-4942 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2021, Aug 28, 2020, Jun 12, 2020 and 8 more (11 updates tracked since 2016).

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About Collaborative Pharmacy Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE PHARMACY SERVICES (NPI 1205005063) is a healthcare organization registered as a long term care pharmacy in Miamisburg, Ohio and active in the NPI registry since February 2008. The organization lists James Kevin Blackburn, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1205005063

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameKETTERING MEDICAL CENTER

Location Address4301 LYONS RDMiamisburg, OH 45342

Mailing Address4301 Lyons RdMiamisburg, OH 45342 · (937) 458-4949 · Fax (937) 458-4942

Phone(937) 458-4949

Fax(937) 458-4942

Organization SubpartYes

Authorized OfficialJames Kevin BlackburnDirector Of Pharmacy · (937) 458-4932

Enumeration DateFebruary 26, 2008

Last NPPES UpdateApril 8, 202111 updates tracked since enumeration

NPPES CertifiedApril 8, 2021

✔ NPI 1205005063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Also ListedPharmacyTaxonomy 333600000X

4301 LYONS RD, Miamisburg, OH 45342

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Other Names 1

Doing Business AsCollaborative Pharmacy Services

Other Identifiers 3

Other2081107Pk

Medicaid0408149OH

Other0232000177OH · Oh Board Of Pharmacy Lic.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

208 services208 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

203 services203 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

19 services19 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROCK SMITH PHARMD

Pharmacist