Keystone Pharmacy LLC

Pharmacy · Madison, MS

Organization Active NPI

NPI number 1407109457

Practice location

106 Highland Way Ste 206
Madison, MS 39110-6930
Phone
(601) 707-9727
Fax
(601) 510-3846

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NPI record

NPI
1407109457
Entity type
Organization (Type 2)
Enumeration date
October 15, 2012
Last updated
April 14, 2026
Certified
April 14, 2026
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacy Primary 333600000X — —
Community/Retail Pharmacy 3336C0003X 11702 MS
Compounding Pharmacy 3336C0004X — —
Mail Order Pharmacy 3336M0002X — —
Specialty Pharmacy 3336S0011X — —

Mailing address

106 Highland Way
Suite 206
Madison, MS 39110-6929
Phone
(601) 707-9727
Fax
(601) 510-3846

Authorized official

Name
Jeffery King
Title
Chief Clinical Officer
Phone
(601) 707-9727

Other names

  • Keystone Specialty Pharmacy

About Keystone Pharmacy LLC

Keystone Pharmacy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacy (code 333600000X). The practice location is 106 Highland Way Ste 206, Madison, MS 39110-6930. The NPI number 1407109457 was assigned on October 15, 2012 and the record was last updated on April 14, 2026.

Keystone Pharmacy LLC lists a license in the registry: #11702 (MS) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jeffery King, Chief Clinical Officer.

Frequently asked questions

What is the NPI number of Keystone Pharmacy LLC?

The NPI number is 1407109457.

What is the phone number of Keystone Pharmacy LLC?

The phone number listed for the practice location is (601) 707-9727.

Where is Keystone Pharmacy LLC located?

106 Highland Way Ste 206, Madison, MS 39110-6930.

What is the taxonomy code for Keystone Pharmacy LLC?

The primary taxonomy code is 333600000X – Pharmacy; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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