NPIMap

Organization Active NPI

Keystone Wholesale Co

Doing business as Key-Med Pharmacy Co.

  • Community/Retail Pharmacy
  • Omaha, NE
National Provider Identifier
1194866582
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1349 Issued in NE
Legal business name
KEYSTONE WHOLESALE CO
Doing business as
Key-Med Pharmacy Co.
Practice address
7328 Maple St
Omaha, NE 68134-6829
Phone
(402) 391-2659
Fax
(402) 391-1524
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Manny Goldberg, RPH
Title
Pres
Phone
(402) 391-2659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1349 NE Primary

Addresses

Primary practice location

7328 Maple St
Omaha, NE 68134-6829

Mailing address

7328 Maple St
Omaha, NE 68134-6829
Phone (402) 391-2659

Other identifiers 2

IdentifierTypeStateIssuer
10025699700MedicaidNE
2800515OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • KEY-MED PHARMACY CO. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1194866582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346829",
            "telephone_number": "402-391-2659",
            "fax_number": "402-391-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7328 MAPLE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346829",
            "telephone_number": "402-391-2659",
            "fax_number": "402-391-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE WHOLESALE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MANNY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "402-391-2659",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NE",
            "license": "1349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025699700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2800515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEY-MED PHARMACY CO.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.