KETTERING MEDICAL CENTER
NPI 1871667253
Pharmacy - Community/Retail Pharmacy in Kettering, OH

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

The NPI number for Kettering Medical Center is 1871667253. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Kettering Health Pharmacy Main Campus.

Q: 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.

Active since November 20, 2006

3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8171(937) 395-8382 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kettering Medical Center NPPES

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

KETTERING MEDICAL CENTER (NPI 1871667253), doing business as Kettering Health Pharmacy Main Campus, is a healthcare organization registered as a community/retail pharmacy in Kettering, 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

NPI1871667253

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKETTERING MEDICAL CENTER

Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221

Mailing Address4301 Lyons RdMiamisburg, OH 45342-6446 · (937) 458-4932 · Fax (937) 522-7198

Phone(937) 395-8171

Fax(937) 395-8382

Organization SubpartYes

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

Enumeration DateNovember 20, 2006

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1871667253 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 · 02051850

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 SOUTHERN BLVD, Kettering, OH 45429

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Other Names 1

Doing Business AsKettering Health Pharmacy Main Campus

Other Identifiers 1

Medicaid0678995OH

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 ›

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.

RAGHEED KATKHUDA MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

ANNEMARIE ROSE UNDERWOOD PA-C

Physician Assistant

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8166

SYLVIA POLENAKOVIK M.D.

Internal Medicine

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-6665

SUSAN KAY ZANN RNFS

Registered Nurse (Registered Nurse First Assistant)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-8608

SWATHI DATLA M.B.B.S.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. LOREN ANN NALLU MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

DR. JEREMY LAWTON CHAPMAN D.O.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. RAHUL RAO DO

Radiology (Diagnostic Radiology)

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8627

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 1871667253. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is doing business as Kettering Health Pharmacy Main Campus.

Where is Kettering Medical Center located?

Kettering Medical Center is located at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8171.

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.

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.