Keystone Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KEYSTONE PHARMACY LLC

Practice address

9133 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4269

Phone

(602) 767-0606

Fax

(602) 767-0568

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By 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

Vineeth Nadimpally

Title

President

Phone

(602) 767-0606

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1730758046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814269",
            "telephone_number": "602-767-0606",
            "fax_number": "602-767-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 W THUNDERBIRD RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814269",
            "telephone_number": "602-767-0606",
            "fax_number": "602-767-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "NADIMPALLY",
        "authorized_official_first_name": "VINEETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-767-0606"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF PHARMACY",
            "identifier": "Y008829",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.