NPIMap

Organization Active NPI

Dayton Osteopathic Hospital

Doing business as Kettering Health Specialty Pharmacy

  • Specialty Pharmacy
  • Kettering, OH
National Provider Identifier
1629511688
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PMY022662150-03 Issued in OH
Legal business name
DAYTON OSTEOPATHIC HOSPITAL
Doing business as
Kettering Health Specialty Pharmacy
Practice address
3700 Southern Blvd Ste 105
Kettering, OH 45429-1226
Phone
(937) 281-3883
Fax
(937) 281-3879
NPI assigned
Nov 23, 2016
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DAYTON OSTEOPATHIC HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Mrs. Lynda Patterson, CPHT
Title
Admin. Asst. Credentialing
Phone
(937) 458-4934

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X PMY022662150-03 OH Primary

Addresses

Primary practice location

3700 Southern Blvd Ste 105
Kettering, OH 45429-1226

Mailing address

4301 Lyons Rd
Miamisburg, OH 45342-6446
Phone (937) 458-4934

Other identifiers 2

IdentifierTypeStateIssuer
0194637MedicaidOH
2166255OtherPK

Other names 1

  • Kettering Health Specialty Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lynda.patterson@ketteringhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319002107 OH DME Supplier - Pharmacy 7618878877 Practice locations: Kettering, OH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dayton Osteopathic Hospital3700 Southern Blvd, Kettering, OH 45429-1265(937) 281-3883 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 12, 2002

National Provider Directory

National Provider Directory
Tax ID family
Grandview Hospital Pharmacy15 organizations share this tax ID, including this one
Part of
Grandview Hospital Pharmacy

Other organizations with this tax ID 14

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

View all 14

Locations (25 of 30)

2145 N Fairfield Rd
Ste A
Beavercreek, OH 45431
Phone (937) 431-9729

2510 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 320-0630

2510 Commons Blvd
Ste 130
Beavercreek, OH 45431
Phone (937) 558-3021

2510 Commons Blvd
Ste 250
Beavercreek, OH 45431
Phone (937) 558-3000

1989 Miamisburg Centerville Rd
Ste 102
Centerville, OH 45459
Phone (937) 401-6881

7677 Yankee St
Ste 100
Centerville, OH 45459
Phone (937) 401-6515

7677 Yankee St
Ste 130
Centerville, OH 45459
Phone (937) 401-6503

1823 N Main St
Dayton, OH 45405
Phone (937) 278-4495

1989 Miamisburg Centerville Rd
Ste 101
Dayton, OH 45459
Phone (937) 401-6620

1989 Miamisburg Centerville Rd
Ste 202
Dayton, OH 45459
Phone (937) 312-1581

2035 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 438-6300

2717 Miamisburg Centerville Rd
Ste 214
Dayton, OH 45459

330 Forest Ave
Dayton, OH 45405
Phone (937) 436-1433

425 W Grand Ave
Ste 1006
Dayton, OH 45405
Phone (937) 226-7871

425 W Grand Ave
Ste 2001
Dayton, OH 45405
Phone (937) 226-7887

6438 Wilmington Pike
Ste 200
Dayton, OH 45459
Phone (937) 299-0099

7740 Washington Village Dr
Ste 140
Dayton, OH 45459
Phone (937) 439-7420

7756 Washington Village Dr
Dayton, OH 45459
Phone (937) 425-0035

450B Washington Jackson Rd
Eaton, OH 45320
Phone (937) 226-7880

450B Washington Jackson Rd
Ste 110
Eaton, OH 45320
Phone (513) 502-3132

450B Washington Jackson Rd
Ste 115
Eaton, OH 45320
Phone (937) 456-8310

1250 W National Rd
Ste 500
Englewood, OH 45315
Phone (937) 832-3300

8701 Old Troy Pike
Ste 180
Huber Heights, OH 45424
Phone (937) 558-3320

3700 Southern Blvd
Ste 105
Kettering, OH 45429
Phone (937) 281-3883

3700 Southern Blvd
Ste 202
Kettering, OH 45429
Phone (855) 500-2873

Interoperability endpoints

  • Direct secure messaging: lynda.patterson@ketteringhealth.org

Practitioners & affiliated clinicians

Practitioners 117

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 117

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1629511688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 LYONS RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426446",
            "telephone_number": "937-458-4934",
            "fax_number": "937-291-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SOUTHERN BLVD STE 105",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291226",
            "telephone_number": "937-281-3883",
            "fax_number": "937-281-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON OSTEOPATHIC HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAYTON OSTEOPATHIC HOSPITAL",
        "enumeration_date": "2016-11-23",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "ADMIN. ASST. CREDENTIALING",
        "authorized_official_telephone_number": "937-458-4934",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "OH",
            "license": "PMY022662150-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194637",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166255",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynda.patterson@ketteringhealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4301 Lyons Rd",
            "city": "Miamisburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453426446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kettering Health Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.