BEAVERCREEK MEDICAL CENTER
NPI 1497029854
Pharmacy - Community/Retail Pharmacy in Beavercreek, OH

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

The NPI number for Beavercreek Medical Center is 1497029854. It was assigned to this organization in the NPPES registry on March 2, 2012. The provider is doing business as Kettering Health Pharmacy Soin.

Q: What is Beavercreek Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since March 02, 2012

3535 PENTAGON BLVD, BEAVERCREEK, OH 45431(937) 458-4934(937) 702-4909 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Beavercreek Medical Center NPPES

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

BEAVERCREEK MEDICAL CENTER (NPI 1497029854), doing business as Kettering Health Pharmacy Soin, is a healthcare organization registered as a community/retail pharmacy in Beavercreek, Ohio and active in the NPI registry since March 2012. The organization lists Kevin Blackburn, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1497029854

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBEAVERCREEK MEDICAL CENTER

Location Address3535 PENTAGON BLVDBeavercreek, OH 45431

Mailing Address4301 Lyons RdMiamisburg, OH 45342-6446 · (937) 458-4934 · Fax (937) 522-7198

Phone(937) 458-4934

Fax(937) 702-4909

Organization SubpartYes

Authorized OfficialKevin BlackburnDirector Of Pharmacy · (937) 458-4932

Enumeration DateMarch 2, 2012

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1497029854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in OH · 022185500

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.

Also ListedPharmacyTaxonomy 333600000X

3535 PENTAGON BLVD, Beavercreek, OH 45431

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Other Names 1

Doing Business AsKettering Health Pharmacy Soin

Other Identifiers 2

Medicaid0065361OH

Other3680318Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

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Other Providers at the Same Location NPPES 20

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

ASHLEY GEORGE

Nurse Anesthetist, Certified Registered

3535 PENTAGON BLVD
BEAVERCREEK, OH 45431

Greene County (937) 702-4000

EMILY GRACE TROMPAK (O'NEAL) PA-C

Physician Assistant (Medical)

3535 PENTAGON BLVD
BEAVERCREEK, OH 45431

Greene County (937) 702-4450

DR. ADELAIDE OMANE CRNA

Nurse Anesthetist, Certified Registered

3535 PENTAGON BLVD
BEAVERCREEK, OH 45431

Greene County (937) 702-4000

GREENE MEMORIAL HOSPITAL SERVICES, INC

Obstetrics & Gynecology

3535 PENTAGON BLVD, SUITE 220
BEAVERCREEK, OH 45431

Greene County (937) 429-7350

MARIAN GAIDA PHAM NP

Nurse Practitioner (Gerontology)

3535 PENTAGON BLVD
BEAVERCREEK, OH 45431

Greene County (937) 395-6665

DR. DANIEL B LUCKENBILL MD

Orthopaedic Surgery (Sports Medicine)

3535 PENTAGON BLVD, STE 320
BEAVERCREEK, OH 45431

Greene County (937) 433-5309

MRS. RAEANNE HUNTER FONDRIEST AG-ACNP

Nurse Practitioner (Acute Care)

3535 PENTAGON BLVD
BEAVERCREEK, OH 45431

Greene County (937) 702-4024

LINDSEY NICOLE ELLIOTT APRN

Nurse Practitioner (Acute Care)

3535 PENTAGON BLVD
BEAVERCREEK, OH 45431

Greene County (937) 702-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beavercreek Medical Center's NPI number?

The NPI number for Beavercreek Medical Center is 1497029854. It was assigned to this organization in the NPPES registry on March 2, 2012. The provider is doing business as Kettering Health Pharmacy Soin.

Where is Beavercreek Medical Center located?

Beavercreek Medical Center is located at 3535 Pentagon Blvd, Beavercreek, OH 45431. The listed phone number is (937) 458-4934.

What is Beavercreek Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Beavercreek Medical Center accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 32 other insurers list Beavercreek Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beavercreek Medical Center was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.