Organization · Type 2 NPI

Beavercreek Medical Center

Community/Retail Pharmacy · Beavercreek, OH

NPI number 1497029854 Active

Practice location

3535 Pentagon Blvd
Beavercreek, OH 45431

Call (937) 458-4934 Map

Fax (937) 702-4909

Mailing address

4301 Lyons Rd
Miamisburg, OH 45342-6446

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	022185500 (OH)

Community/Retail Pharmacy: 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 …

44 other providers at this address

Other community/retail pharmacy providers in Beavercreek

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NPI record

NPI: 1497029854
Entity type: Organization (Type 2)
Issued: Mar 2, 2012
Last updated: Jan 27, 2025
Status: Active
Subpart: Yes of Beavercreek Medical Center

Other names

<unavail>
Kettering Health Pharmacy Soin · doing business as

Authorized official

Mr. Kevin Blackburn, RPH
Director of Pharmacy
(937) 458-4932

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497029854

Beavercreek Medical Center's National Provider Identifier is 1497029854, issued on Mar 2, 2012. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Beavercreek, OH. The record was last updated on Jan 27, 2025.