NPIMap

Organization Active NPI

Dayton Childrens Hospital

Doing business as Dayton Children's Hospital - South Campus Pharmacy

  • Community/Retail Pharmacy
  • Miamisburg, OH
National Provider Identifier
1487108932
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CLPH.020612250- Issued in OH
Legal business name
DAYTON CHILDRENS HOSPITAL
Doing business as
Dayton Children's Hospital - South Campus Pharmacy
Dayton Children's Hospital-South Campus
Practice address
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone
(937) 641-5080
Fax
(937) 641-4848
NPI assigned
Aug 12, 2016
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chris Bergman
Title
VP/Cfo
Phone
(937) 641-5080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X CLPH.020612250- OH Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

3333 W Tech Rd
Miamisburg, OH 45342-0955

Mailing address

3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-5080

Other identifiers 2

IdentifierTypeStateIssuer
3684481OtherOHNABP
0180849MedicaidOH

Other names 2

  • Dayton Children's Hospital - South Campus Pharmacy Doing business as
  • Dayton Children's Hospital-South Campus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dayton Children's Medical Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487108932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W TECH RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453420955",
            "telephone_number": "937-641-5080",
            "fax_number": "937-641-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W TECH RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453420955",
            "telephone_number": "937-641-5080",
            "fax_number": "937-641-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON CHILDRENS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "937-641-5080"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "CLPH.020612250-",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3684481",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180849",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dayton Children's Hospital - South Campus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dayton Children's Hospital-South Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dayton Children's Hospital-South Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.