# DAYTON OSTEOPATHIC HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAYTON OSTEOPATHIC HOSPITAL
- **Other names:** Kettering Health Pharmacy Beavercreek
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043225683
- **Legal business name:** DAYTON OSTEOPATHIC HOSPITAL
- **Authorized official:** MR. KEVIN BLACKBURN RPH (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (937) 458-4932

## Contact information

- **Practice address:** 2510 COMMONS BLVD, BEAVERCREEK, OH 45431-3820
- **Practice address phone:** (937) 558-3030
- **Practice address fax:** (937) 558-3089
- **Mailing address:** 4301 LYONS RD, MIAMISBURG, OH 45342-6446
- **Mailing address phone:** (937) 458-4934
- **Mailing address fax:** (937) 522-7198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PMY.021561900-03 | OH | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 01/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2645043 | — | OH |