DAYTON OSTEOPATHIC HOSPITAL (NPI# 1164591764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164591764 |
| Entity Type | Organization |
| Organization Name | DAYTON OSTEOPATHIC HOSPITAL |
| Other Organization Name | KHN PHARMACY CASSANO |
| Practice Address |
165 S Edwin C Moses Blvd Dayton OH 45402-8472 |
| Mailing Address |
4301 Lyons Rd Miamisburg OH 45342-6446 |
| Practice Telephone | 9375580199 |
| Practice Fax Number | 9375580198 |
| Mailing Telephone | 9373846853 |
| Mailing Fax Number | 9373846804 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-01-09 |
| Authorized Official Name | MR. KEVIN BLACKBURN (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 9374584932 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | DAYTON OSTEOPATHIC HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
021374100 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2403670 | 05 |
| Other Name | Type Code |
|---|---|
| Cassano Health Pharmacy | Doing Business As Name - Organization |
| KHN PHARMACY CASSANO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982778361 | Dayton Osteopathic Hospital | Pharmacy | 1997 Miamisburg-centerville Rd, Dayton, OH 45459 | 2006-11-20 |
| 1649298100 | Dayton Osteopathic Hospital | Rehabilitation Unit | 405 W Grand Avenue, Dayton, OH 45405-4720 | 2006-07-17 |
| 1922266352 | Dayton Osteopathic Hospital | Pharmacy | 450b Washington Jackson Rd, Eaton, OH 45320-7600 | 2008-06-02 |
| 1568633980 | Dayton Osteopathic Hospital | Clinic/Center | 1989 Miamisburg Centerville Rd, Suite 304, Dayton, OH 45459-3859 | 2008-03-13 |
| 1902097280 | Dayton Osteopathic Hospital | Anesthesiology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2007-08-05 |
| 1609940089 | Dayton Osteopathic Hospital | Pharmacy | 8701 Troy Pike, Huber Heights, OH 45424-1066 | 2006-11-20 |
| 1811072010 | Dayton Osteopathic Hospital | Pharmacy | 405 W Grand Ave, Dayton, OH 45405 | 2006-10-26 |
| 1043225683 | Dayton Osteopathic Hospital | Pharmacy | 2510 Commons Blvd, Beavercreek, OH 45431-3820 | 2006-07-30 |
| 1437176054 | Dayton Osteopathic Hospital | Psychiatric Unit | 405 W Grand Ave, Dayton, OH 45405-7538 | 2006-07-17 |
| 1053339507 | Dayton Osteopathic Hospital | General Acute Care Hospital | 405 W Grand Ave, Dayton, OH 45405-7538 | 2006-07-17 |
| Street Address |
165 S EDWIN C MOSES BLVD |
| City | DAYTON |
| State | OH |
| Zip Code | 45402-8472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376524876 | Carrie A Cunnagin | Family Medicine | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2005-11-10 |
| 1093221350 | Elizabeth Brooke Campbell | Student in an Organized Health Care Education/Training Program | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2017-12-22 |
| 1912381237 | Jessica Nicole Hatton | Pharmacist | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2015-07-16 |
| 1730595141 | Justin D Thomas | Internal Medicine | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2014-07-07 |
| 1033525589 | Kimbra Joyce | Family Medicine | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2014-07-05 |
| 1518306489 | Daniel Richard Lygrisse | Surgery | 165 S Edwin C Moses Blvd, Dayton, OH 45402 | 2013-06-24 |
| 1437414851 | Nicklaus James Hess | Family Medicine | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2012-07-11 |
| 1265721542 | Community Health Centers of Greater Dayton | Clinic/Center | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2011-04-07 |
| 1174812457 | Community Health Centers of Greater Dayton | Clinic/Center | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2011-04-07 |
| 1588630347 | Dayton Osteopathic Hospital | Clinic/Center | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2006-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700262250 | First Care Pharmacy LLC | Pharmacy | 8353 N Main St, Dayton, OH 45415-1602 | 2015-08-07 |
| 1235560541 | Five Star Care Inc. | Pharmacy | 108-b North Main, Dayton, TX 77535 | 2013-12-12 |
| 1689014847 | Adham Enterprises LLC | Pharmacy | 2915 Linden Ave, Dayton, OH 45410-3038 | 2013-07-02 |
| 1336476308 | Ziks Family Pharmacy Inc 102 | Pharmacy | 4140 Salem Avenue, Dayton, OH 45426 | 2009-11-11 |
| 1982778361 | Dayton Osteopathic Hospital | Pharmacy | 1997 Miamisburg-centerville Rd, Dayton, OH 45459 | 2006-11-20 |
| 1619049400 | Barlow Rx Inc | Pharmacy | 8359 N Main St, Dayton, OH 45415-1602 | 2006-11-15 |
| 1962505461 | Ohio Cvs Stores LLC | Pharmacy | 1300 Wilmington Ave, Dayton, OH 45420-1541 | 2006-09-07 |
| 1265544274 | Shelton Pharmacy | Pharmacy | 1525 Wayne Ave, Dayton, OH 45410-1707 | 2006-08-31 |
| 1689789620 | The Elder Beerman Stores Corp | Pharmacy | 2917 Philadelphia Dr, Dayton, OH 45405-1913 | 2006-08-20 |
| 1326053349 | Walgreen Co | Pharmacy | 1542 Wayne Ave, Dayton, OH 45410-1708 | 2006-07-29 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.