Collaborative Pharmacy Services

LBN: Kettering Medical Center
Collaborative Pharmacy Services is an health care organization with primary practice located at 4301 Lyons Rd , Miamisburg OH 45342. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Kettering Medical Center can be contacted via phone (937) 458-4949, or through Blackburn, James Kevin via phone (937) 458-4932.

Contact Information

Primary practice address
4301 Lyons Rd Miamisburg OH 45342
Phone: (937) 458-4949
Fax: (937) 458-4942
Website:
Map and Directions
Authorized official contact:
Name: Blackburn, James Kevin RPH
Phone: (937) 458-4932

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1205005063
LBN Legal business name Kettering Medical Center
DBA Doing business as Collaborative Pharmacy Services
Authorized official Blackburn, James Kevin RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2008
Last updated Apr 8th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205005063 NPPES
Ohio MEDICAID 0408149
Ohio Other 2081107
Ohio Other 0232000177

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