Khn Pharmacy Sycamore
LBN: Kettering Medical Center
Khn Pharmacy Sycamore is an health care organization with primary practice located at 4000 Miamisburg-Centerville Rd , Miamisburg OH 45342. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kettering Medical Center can be contacted via phone (937) 384-3868, or through Blackburn, Kevin via phone (937) 458-4932.
Contact Information
Primary practice address
4000 Miamisburg-Centerville Rd
Miamisburg OH 45342
Phone: (937) 384-3868
Fax: (937) 384-3868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 021076650 | Ohio |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1790859171 |
|---|---|
| LBN Legal business name | Kettering Medical Center |
| DBA Doing business as | Khn Pharmacy Sycamore |
| Authorized official | Blackburn, Kevin RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Apr 20th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790859171 | NPPES |
| Ohio | MEDICAID | 2085818 | |
| Ohio | Other | 3666039 | |
| Ohio | MEDICAID | 2805818 |
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