Keystone Pharmacy Services LLC
NPI 1508113143ActiveOrganization· Pharmacy· Knoxville, TN
Pharmacy in Knoxville, Tennessee, registered in NPPES in August 2012. The authorized official on file is Peyton Noble Roberts, Pic. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1508113143 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2012 |
| Last updated in NPPES | Jan 10, 2023 |
| Certified by provider | Jan 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
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) | Enrolled Part B Supplier - Pharmacy (TN) |
|---|
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