# HEALTH PARTNERS OF WESTERN OHIO

> 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
- **Other names:** Kenton Community Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689925356
- **Authorized official:** JENNIFER CLARK (DIRECTOR OF PHARMACY SERVICES)
- **Authorized official phone:** (419) 222-1680

## Contact information

- **Practice address:** 111 W ESPY ST, KENTON, OH 43326-2117
- **Practice address phone:** (419) 679-5995
- **Practice address fax:** (419) 679-1393
- **Mailing address:** 111 W ESPY ST, KENTON, OH 43326-2117
- **Mailing address phone:** (419) 679-5995
- **Mailing address fax:** (419) 679-1393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 022241650 | OH | Yes |

## Other

- **Enumeration date:** 09/21/2012
- **Last updated:** 11/13/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0072656 | — | OH |
| 01 | — | 2137048 | PK | — |