Keystone RX Corporation Inc
Organization Active NPI Long Term Care Pharmacy · Hemingford, NE
NPI 1184231920 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1184231920
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- KEYSTONE RX CORPORATION INC
- Practice address
- 508 Niobrara Ave
Hemingford, NE 69348-9703 - Phone
- (308) 487-5212
- Fax
- (308) 487-5235
- NPI assigned
- Sep 25, 2020
- Organization subpart
- No
Authorized official
- Name
- Blanche Anne Randolph
- Title
- Owner/Manager
- Phone
- (308) 487-5212
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Dave'S Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Yes |
Addresses
Primary practice location
508 Niobrara Ave
Hemingford, NE 69348-9703
Mailing address
PO Box 95
Hemingford, NE 69348-0095
Phone (308) 487-5212
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100264060 | Medicaid | NE |
Other names
- Dave's Pharmacy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Rx30 | Direct |
Other providers in Hemingford, NE
- Hemingofrd Schools
- Kayla Henderson
- Jada Marie Jensen
- Patrick Jespersen
- Keystone Health LLC
- Keystone RX Corporation Inc
- Sara Leisy
- M Douglas Shaver
- Mobius Communications Company
- Niobrara Rehabilitation and Hand Therapy LLC
All providers in Hemingford, NE · Long Term Care Pharmacy in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.