OrganizationActive
Beavercreek Medical Center
NPI 1497029854 · Community/Retail Pharmacy · Beavercreek, OH
Provider details
- NPI number
- 1497029854
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Beavercreek Medical Center
- Organization subpart
- Yes
- Authorized official
- Kevin Blackburn, Director of Pharmacy(937) 458-4932
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone: (937) 458-4934
Fax: (937) 702-4909
Street-level locationGet directions
Mailing address
4301 Lyons Rd
Miamisburg, OH 45342-6446
Other names (DBA / former)
- Doing business as
- Kettering Health Pharmacy Soin
Registry dates
- Enumerated
- 2012-03-02
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.