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KETTERING MEDICAL CENTER
NPI 1790859171
Pharmacy - Community/Retail Pharmacy in Miamisburg, OH

Active since November 20, 2006
4000 MIAMISBURG-CENTERVILLE RD, MIAMISBURG, OH 45342(937) 384-3868(937) 384-3868 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2020, Jan 29, 2020 (2 updates tracked since 2020).

About Kettering Medical Center NPPES

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

KETTERING MEDICAL CENTER (NPI 1790859171), doing business as Kettering Health Pharmacy Miamisburg, is a healthcare organization registered as a community/retail pharmacy in Miamisburg, Ohio and active in the NPI registry since November 2006. The organization lists Kevin Blackburn, Director Of Pharmacy, as its authorized official.

NPPES Registry Identity

NPI1790859171
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKETTERING MEDICAL CENTER
Location Address4000 MIAMISBURG-CENTERVILLE RDMiamisburg, OH 45342
Mailing Address4301 Lyons Rd.Miamisburg, OH 45342 · (937) 458-4934 · Fax (937) 522-7198
Phone(937) 384-3868
Fax(937) 384-3868
Organization SubpartYes
Authorized OfficialKevin BlackburnDirector Of Pharmacy · (937) 458-4932
Enumeration DateNovember 20, 2006
Last NPPES UpdateJanuary 22, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2025
✔ NPI 1790859171 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 · 021076650
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
4000 MIAMISBURG-CENTERVILLE RD, Miamisburg, OH 45342
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Other Names 1

Doing Business AsKettering Health Pharmacy Miamisburg

Other Identifiers 3

Medicaid2085818OH
Medicaid2805818OH
Other3666039Other Id 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 ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Kettering Medical Center carries, from the Medicare DMEPOS supplier directory.

Kettering Medical Center

DMEPOS supplier · Miamisburg, OH
⋮

Does not accept Medicare assignment

Kettering Medical Center has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20462285
Medicare Participant SinceMarch 8, 2017
Supplier Location4301 Lyons RdMiamisburg, OH 45342
Phone(937) 458-4949
Provider TypeAll Other Supplies (ie, Drug Stores, Etc.)
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

STEPHANIE WUELLNER RPH
Pharmacist
4000 MIAMISBURG-CENTERVILLE RD
MIAMISBURG, OH 45342
Montgomery County (937) 384-4844

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 Kettering Medical Center's NPI number?

The NPI number for Kettering Medical Center is 1790859171. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Kettering Health Pharmacy Miamisburg.

Where is Kettering Medical Center located?

Kettering Medical Center is located at 4000 Miamisburg-Centerville Rd, Miamisburg, OH 45342. The listed phone number is (937) 384-3868.

What is Kettering Medical Center's specialty?

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

Does Kettering Medical Center accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Kettering Medical Center does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Kettering 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 Kettering 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 Kettering Medical Center was last updated on January 22, 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.