Keystone Pharmacy LLC
NPI 1407109457ActiveOrganization· Pharmacy· Madison, MS
Pharmacy in Madison, Mississippi, registered in NPPES in October 2012. The authorized official on file is Jeffery King, Chief Clinical Officer.
Overview
| NPI | 1407109457 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2012 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 11702 | MS |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
| Pharmacy, Mail Order Pharmacy | 3336M0002X | — | — |
| Pharmacy, Specialty Pharmacy | 3336S0011X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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