1. Home
  2. Directory
  3. Nebraska
  4. Hemingford
  5. Pharmacy
  6. NPI Profile

KEYSTONE RX CORPORATION INC
NPI 1922411925
Pharmacy - Community/Retail Pharmacy in Hemingford, NE

Active since June 06, 2014
508 NIOBRARA AVE, HEMINGFORD, NE 69348(308) 487-5212(308) 487-5235 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2025, Dec 27, 2018 (2 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 1922411925), doing business as Dave's Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Hemingford, Nebraska and active in the NPI registry since June 2014. The organization lists David Randolph, President, as its authorized official.

NPPES Registry Identity

NPI1922411925
Entity TypeOrganization
Primary Taxonomy3336C0003X
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 OfficialDavid RandolphPresident · (308) 760-1966
Enumeration DateJune 6, 2014
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1922411925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in NE · 3016
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
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
508 NIOBRARA AVE, Hemingford, NE 69348
Open in Google Maps ↗

Other Names 1

Doing Business AsDave's Pharmacy

Other Identifiers 1

Other2146246Pk

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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keystone Rx Corporation Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNebraskaEnrollment IDO20191216000739DME · PharmacyDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

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.

KEYSTONE RX CORPORATION INC
Pharmacy (Long Term Care 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
M DOUGLAS SHAVER
Pharmacy (Community/Retail Pharmacy)
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

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 1922411925. It was assigned to this organization in the NPPES registry on June 6, 2014. 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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Keystone Rx Corporation Inc enrolled in Medicare?

Yes. Keystone Rx Corporation Inc is registered in the Medicare PECOS enrollment system.

When is Keystone Rx Corporation Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Nebraska, Pharmacy) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

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 Arkansas Health & Wellness and 41 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 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.