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Kettering Medical Center

Long Term Care Pharmacy in Miamisburg, OH · enumerated 2008 · authorized official James Blackburn, Director of Pharmacy.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205005063

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Registry record

Entity type Organization (Type 2)
Legal business name Kettering Medical Center
Other name <Unavail>
Parent organization Kettering Medical Center
Practice address 4301 Lyons Rd, Miamisburg, OH, 45342
Phone (937) 458-4949
Fax (937) 458-4942
Enumeration date Feb 26, 2008
Last updated in NPPES Apr 8, 2021

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name James Blackburn
Title Director of Pharmacy
Phone (937) 458-4932

Other identifiers

Identifier Type State Issuer
0408149 Medicaid OH -
2081107 Other - PK
0232000177 Other OH OH BOARD OF PHARMACY LIC.

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kettering Medical Center?
NPPES lists James Blackburn (Director of Pharmacy) as the authorized official for this organization.
What is the NPI number for Kettering Medical Center?
The NPI for Kettering Medical Center is 1205005063, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-08.