Keystone Pharmacy Services LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

KEYSTONE PHARMACY SERVICES LLC

Doing business as

UT Student Health Center Pharmacy

Practice address

1800 Volunteer Blvd
Knoxville, TN 37996-4522

Phone

(865) 974-3135

NPI assigned

Aug 14, 2012

Last updated

Jan 10, 2023By 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

Peyton Noble RobertsNPI 1275844433

Title

Pic

Phone

(865) 974-5932

Specialties & licenses 1

Addresses

Other names 1

• UT Student Health Center Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Keystone Pharmacy Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Keystone Pharmacy Services LLC

  dba The Pharmacy at LSU

  • Institutional Pharmacy
  • Baton Rouge, LA
  • NPI 1538619614
  NPD tax ID
• Keystone Pharmacy Services LLC

  dba The Pharmacy at LSU

  • Community/Retail Pharmacy
  • Baton Rouge, LA
  • NPI 1629528526
  NPD tax ID

Locations

Practitioners 7

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.

• Peyton Noble Roberts, R.PH

  • Pharmacist
  • Knoxville, TN
  • NPI 1275844433
  Authorized official Same address or phone
• Pamela Asbury-Hux, NP

  • Nurse Practitioner
  • Knoxville, TN
  • NPI 1184666851
  NPD (past)
• Joanne Marie Clinch, MD

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1174676688
  NPD (past)
• Christopher R Cox, MD

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1649216276
  NPD (past)
• Shea Alexis Long

  • Pharmacist
  • Knoxville, TN
  • NPI 1881282580
  NPD (past)
• Rebecca Lynn Morgan, M.D.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1568535391
  NPD (past)
• Eric R Prenshaw, M.D.

  • Pediatric Adolescent Medicine Physician
  • Knoxville, TN
  • NPI 1871575340
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1508113143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 VOLUNTEER BLVD STE 153",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379964713",
            "telephone_number": "865-974-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VOLUNTEER BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379964522",
            "telephone_number": "865-974-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "PEYTON",
        "authorized_official_middle_name": "NOBLE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "865-974-5932"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Student Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UT Student Health Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keven Bowdle, DDS (Knox Legacy Dental)
• Lindsay Elizabeth Key, LPC-MHSP
• Matthew Michael Key, CRNA
• Graeme Keys, PT
• Chelsea Keyser, HS
• Vali Khairollahi, MD
• Fauzia Khalid, NP
• Siridatar K Khalsa-Zemel, MS,RD,LDN
• Khalid Khan, APRN
• Mujeeb H Khan, MD

• Pharmacy in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.