KEYSTONE PHARMACY LLC

Q: What is Keystone Pharmacy LLC's NPI number?

The NPI number for Keystone Pharmacy LLC is 1407109457. It was assigned to this organization in the NPPES registry on October 15, 2012. The provider is doing business as Keystone Specialty Pharmacy.

Q: What is Keystone Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

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About Keystone Pharmacy Llc NPPES

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

KEYSTONE PHARMACY LLC (NPI 1407109457), doing business as Keystone Specialty Pharmacy, is a healthcare organization registered as a pharmacy in Madison, Mississippi and active in the NPI registry since October 2012. The organization lists Jeffery King, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1407109457

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameKEYSTONE PHARMACY LLC

Location Address106 HIGHLAND WAY STE 206Madison, MS 39110-6930

Mailing Address106 Highland Way, Suite 206Madison, MS 39110-6929 · (601) 707-9727 · Fax (601) 510-3846

Phone(601) 707-9727

Fax(601) 510-3846

Organization SubpartNo

Authorized OfficialJeffery KingChief Clinical Officer · (601) 707-9727

Enumeration DateOctober 15, 2012

Last NPPES UpdateApril 14, 20265 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1407109457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 11702 (MS)

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

106 HIGHLAND WAY STE 206, Madison, MS 39110

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Other Names 1

Doing Business AsKeystone Specialty Pharmacy

Other Identifiers 1

Other2145389Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Avera Health Plans and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Keystone Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

DMEPOS supplier · Madison, MS

✔

Accepts Medicare assignment

Keystone Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20346035

Medicare Participant SinceDecember 13, 2022

Supplier Location106 Highland Way Ste 206Madison, MS 39110

Phone(855) 739-9948

Supplier Specialties

Pharmacy

Medicare Product Categories

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Blood Glucose Monitors/Supplies (Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Insulin Infusion Pumps and/or Supplies

Disposable Insulin Delivery System, Mechanical insulin infusion pumps, Needle type infusion sets, Cannula type infusion sets

Negative Pressure Wound Therapy Pumps/Supplies

Wound care sets, Pumps, Canisters

Ostomy Supplies

Pouches, Paste, Powder, Barrier wipes

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Pharmacy LLC's NPI number?

The NPI number for Keystone Pharmacy LLC is 1407109457. It was assigned to this organization in the NPPES registry on October 15, 2012. The provider is doing business as Keystone Specialty Pharmacy.

Where is Keystone Pharmacy LLC located?

Keystone Pharmacy LLC is located at 106 Highland Way Ste 206, Madison, MS 39110. The listed phone number is (601) 707-9727.

What is Keystone Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Keystone Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Keystone Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Keystone Pharmacy LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Kansas City and 15 other insurers list 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 Keystone Pharmacy LLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.