Keystone Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

KEYSTONE PHARMACY LLC

Doing business as

Keystone Specialty Pharmacy

Practice address

106 Highland Way Ste 206
Madison, MS 39110-6930

Phone

(601) 707-9727

Fax

(601) 510-3846

NPI assigned

Oct 15, 2012

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffery King

Title

Chief Clinical Officer

Phone

(601) 707-9727

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Keystone Specialty Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Enstrom Cantrell

  • Pharmacist
  • Madison, MS
  • NPI 1194325654
  NPD

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1407109457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HIGHLAND WAY",
            "address_2": "SUITE 206",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106929",
            "telephone_number": "601-707-9727",
            "fax_number": "601-510-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HIGHLAND WAY STE 206",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106930",
            "telephone_number": "601-707-9727",
            "fax_number": "601-510-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "601-707-9727"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "11702",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keystone Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caelin Hanna Kennedy, LPC
• Nathaniel Kern, PT, DPT
• Emily Nicole Keveryn, PHARMD
• Kevin Kosek Eye Clinic, P.a. (The Eye Group of Mississippi)
• Key Dental Group
• Jennifer King Laxson, D.M.D.
• Billy Wayne King, RPH
• Caitlyn Watts King
• Elizabeth Kinney, SLP
• Kristopher Kinser

• Pharmacy in Madison, MS
• Providers in Madison, MS by specialty
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.