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KEYSTONE RX CORPORATION INC
NPI 1184231920
Pharmacy - Long Term Care Pharmacy in Hemingford, NE

Active since September 25, 2020CLIA 28D2116839 · Waiver
508 NIOBRARA AVE, HEMINGFORD, NE 69348(308) 487-5212(308) 487-5235 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2025, Sep 25, 2020 (2 updates tracked since 2020).

About Keystone Rx Corporation Inc NPPES

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

KEYSTONE RX CORPORATION INC (NPI 1184231920), doing business as Dave's Pharmacy, is a healthcare organization registered as a long term care pharmacy in Hemingford, Nebraska and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through August 1, 2026 and lists Blanche Anne Randolph, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1184231920
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameKEYSTONE RX CORPORATION INC
Location Address508 NIOBRARA AVEHemingford, NE 69348-9703
Mailing AddressPo Box 95Hemingford, NE 69348-0095 · (308) 487-5212 · Fax (308) 487-5235
Phone(308) 487-5212
Fax(308) 487-5235
Organization SubpartNo
Authorized OfficialBlanche Anne RandolphOwner/manager · (308) 487-5212
Enumeration DateSeptember 25, 2020
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1184231920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

508 NIOBRARA AVE, Hemingford, NE 69348
Open in Google Maps ↗

Other Names 1

Doing Business AsDave's Pharmacy

Other Identifiers 1

Medicaid100264060NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans 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 28D2116839

Keystone Rx Corporation, Inc D/B/A Dave's Pharmacy · Hemingford, NE
Active · expires Aug 1, 2026
CLIA Number28D2116839
Laboratory TypePharmacy
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorMr. David L. Randolph
Laboratory Phone(308) 487-5212
Laboratory LocationKeystone Rx Corporation, Inc D/B/A Dave's Pharmacy508 Niobrara Avenue, Hemingford, NE 69348
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 4

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

M DOUGLAS SHAVER
Pharmacy (Community/Retail Pharmacy)
508 NIOBRARA AVE
HEMINGFORD, NE 69348
Box Butte County (308) 487-5212
JADA MARIE JENSEN PHARMD
Pharmacist
508 NIOBRARA AVE
HEMINGFORD, NE 69348
Box Butte County (308) 487-5212
KEYSTONE HEALTH LLC
Family Medicine
508 NIOBRARA AVE
HEMINGFORD, NE 69348
Box Butte County (308) 487-5922
KEYSTONE RX CORPORATION INC
Pharmacy (Community/Retail Pharmacy)
508 NIOBRARA AVE
HEMINGFORD, NE 69348
Box Butte County (308) 487-5212

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 1184231920. It was assigned to this organization in the NPPES registry on September 25, 2020. The provider is doing business as Dave's Pharmacy.

Where is Keystone Rx Corporation Inc located?

Keystone Rx Corporation Inc is located at 508 Niobrara Ave, Hemingford, NE 69348. The listed phone number is (308) 487-5212.

What is Keystone Rx Corporation Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Keystone Rx Corporation Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2116839) is associated with this NPI, valid through August 1, 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 Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 11 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 February 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.