Keystone Wholesale Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEYSTONE WHOLESALE CO

Practice address

7328 Maple Street
Omaha, NE 68134-6829

Phone

(402) 391-2659

Fax

(402) 391-0038

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Manny Goldberg, R.P.

Title

President

Phone

(402) 391-2659

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Medicine Chest Home Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bonnie C. Vandenberg, R.P.

  • Pharmacist
  • Omaha, NE
  • NPI 1972625408
  NPD (past)
• William J Young, R.P.

  • Pharmacist
  • Omaha, NE
  • NPI 1568686038
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1003982307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 MAPLE STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346829",
            "telephone_number": "402-391-2659",
            "fax_number": "402-391-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7328 MAPLE STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346829",
            "telephone_number": "402-391-2659",
            "fax_number": "402-391-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE WHOLESALE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-391-2659",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.P."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1125096",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93081454401",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9942",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9942",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Chest Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Branaja Keyes
• Matthew Waye Keyes, MS, PLMHP
• Rhonda Jane Keyes, APRN
• Lamonte Keys
• Keyshas in Home Care LLC
• Keystone Wholesale Co
• KG Counseling, LLC
• Kgmvp LLC
• Naresh Khadgi
• Neera Khadka

• Durable Medical Equipment & Medical Supplies in Omaha, NE
• Providers in Omaha, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.