Mr Prescription of Kettering Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021070350 Issued in OH

Legal business name

MR PRESCRIPTION OF KETTERING INC

Practice address

3081 Far Hills Ave
Kettering, OH 45429-2509

Phone

(937) 297-0596

Fax

(937) 297-0598

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Tim Clark

Title

President

Phone

(937) 428-7970

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CLARKS MR PRESCRIPTION Doing business as

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1609975176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7044 SOLUTION CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "937-428-7970",
            "fax_number": "937-428-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292509",
            "telephone_number": "937-297-0596",
            "fax_number": "937-297-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR PRESCRIPTION OF KETTERING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-428-7970"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021070350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3665330",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2088762",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARKS MR PRESCRIPTION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aubrey Dawn Morrison-Gill, PSY.D.
• Morrow County Emergency Physicians Inc
• Ronald Joseph Moser, MD
• Leila Moudjed
• Hind N Moussa, MD
• Urooj Mujtaba, PAC
• Divine Mukamisha
• Bradford J Murphy, DO
• Cristina Michelle Murphy, FNP
• Elizabeth Marie Murphy, NP

• Community/Retail Pharmacy in Kettering, OH
• Providers in Kettering, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.