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KEYSTONE PHARMACY INC
NPI 1063509255
Pharmacy - Community/Retail Pharmacy in Baltimore, MD

Active since October 07, 2006
1358 W NORTH AVE, BALTIMORE, MD 21217(410) 669-1900(410) 728-3375 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keystone Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYSTONE PHARMACY INC (NPI 1063509255) is a healthcare organization registered as a community/retail pharmacy in Baltimore, Maryland and active in the NPI registry since October 2006. The organization lists Syam K Potluri, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063509255
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameS & R KEYSTONE PHARMACY LLC
Location Address1358 W NORTH AVEBaltimore, MD 21217-3536
Mailing Address1358 W North AveBaltimore, MD 21217-3536 · (410) 669-1900 · Fax (410) 728-3375
Phone(410) 669-1900
Fax(410) 728-3375
Organization SubpartNo
Authorized OfficialSyam K PotluriManaging Member · (443) 823-3350
Enumeration DateOctober 7, 2006
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1063509255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MD · P02060
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
1358 W NORTH AVE, Baltimore, MD 21217
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Other Names 2

Doing Business AsKeystone Pharmacy Inc
Doing Business AsKeystone Pharmacy

Other Identifiers 2

Medicaid392202200MD
Other2113811Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S & R Keystone Pharmacy LLC's NPI number?

The NPI number for S & R Keystone Pharmacy LLC is 1063509255. It was assigned to this organization in the NPPES registry on October 7, 2006. The provider is doing business as Keystone Pharmacy Inc and Keystone Pharmacy.

Where is S & R Keystone Pharmacy LLC located?

S & R Keystone Pharmacy LLC is located at 1358 W North Ave, Baltimore, MD 21217. The listed phone number is (410) 669-1900.

What is S & R Keystone Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does S & R Keystone Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list S & R Keystone Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for S & R Keystone Pharmacy LLC was last updated on January 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.