KEYSTONE RX CORPORATION INC NPI 1093206062

NPI Information

  • NPI: 1093206062
  • Provider Name: KEYSTONE RX CORPORATION INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 28D2158658
  • Address: 223 BOX BUTTE AVE
    ALLIANCE, NE
    ZIP 69301
  • Phone: (308) 762-4811

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NPI Details

KEYSTONE RX CORPORATION INC is a community/retail pharmacy pharmacy in Alliance, NE. The provider is 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. KEYSTONE RX CORPORATION INC NPI is 1093206062. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

223 BOX BUTTE AVE
ALLIANCE, NE
ZIP 69301-741
Phone: (308) 762-4811
Fax: (308) 487-3409

The provider's authorized official is David Randolph .
The authorized official title is Pharmacist and has the following contact phone number (308) 760-1966.

The CLIA number assigned to this NPI record is 28D2158658 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2018 and was last updated on 9/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy718NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100264060-00MEDICAIDNEBRASKA
22177805OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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