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KEYSTONE RX CORPORATION INC
NPI 1093206062
Pharmacy - Community/Retail Pharmacy in Alliance, NE

Active since May 24, 2018CLIA 28D2158658 · Waiver
223 BOX BUTTE AVE, ALLIANCE, NE 69301(308) 762-4811(308) 487-3409 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2025, Feb 17, 2025, May 24, 2018 (3 updates tracked since 2018).

About Keystone Rx Corporation Inc NPPES

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

KEYSTONE RX CORPORATION INC (NPI 1093206062), doing business as Dave's Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Alliance, Nebraska and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through December 3, 2026 and lists David Randolph, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1093206062
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKEYSTONE RX CORPORATION INC
Location Address223 BOX BUTTE AVEAlliance, NE 69301-3741
Mailing AddressPo Box 95Hemingford, NE 69348-0095 · (308) 762-4811
Phone(308) 762-4811
Fax(308) 487-3409
Organization SubpartNo
Authorized OfficialDavid RandolphPharmacist · (308) 760-1966
Enumeration DateMay 24, 2018
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1093206062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NE · 718
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
223 BOX BUTTE AVE, Alliance, NE 69301
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Other Names 1

Doing Business AsDave's Pharmacy

Other Identifiers 2

Medicaid100264060-00NE
Other2177805Pk

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2158658

Keystone Rx Corporation Inc Dba Dave's Pharmacy · Alliance, NE
Active · expires Dec 3, 2026
CLIA Number28D2158658
Laboratory TypePharmacy
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorMr. David L. Randolph
Laboratory Phone(308) 762-4811
Laboratory LocationKeystone Rx Corporation Inc Dba Dave's Pharmacy223 Box Butte Avenue, Alliance, NE 69301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA LEIDER PHARMD
Pharmacist
223 BOX BUTTE AVE
ALLIANCE, NE 69301
Box Butte County (308) 762-4811

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 Keystone Rx Corporation Inc's NPI number?

The NPI number for Keystone Rx Corporation Inc is 1093206062. It was assigned to this organization in the NPPES registry on May 24, 2018. The provider is doing business as Dave's Pharmacy.

Where is Keystone Rx Corporation Inc located?

Keystone Rx Corporation Inc is located at 223 Box Butte Ave, Alliance, NE 69301. The listed phone number is (308) 762-4811.

What is Keystone Rx Corporation Inc's specialty?

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

Does Keystone Rx Corporation Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2158658) is associated with this NPI, valid through December 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Keystone Rx Corporation Inc 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 Keystone Rx Corporation Inc 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 Keystone Rx Corporation Inc was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.