Keystone Pharmacy Inc
NPI 1316049745 · Compounding Pharmacy · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keystone Pharmacy Inc is a Compounding Pharmacy organization in Grand Rapids, MI (NPI 1316049745).
Provider details
- NPI number
- 1316049745
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Miller, Owner(616) 974-9792
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Keystone Pharmacy
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2017-03-17
Frequently asked questions
- What is Keystone Pharmacy Inc's NPI number?
- Keystone Pharmacy Inc's National Provider Identifier (NPI) is 1316049745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keystone Pharmacy Inc?
- Keystone Pharmacy Inc is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Keystone Pharmacy Inc located?
- Keystone Pharmacy Inc's practice location on file with NPPES is 4021 Cascade Rd Se, Grand Rapids, MI 49546-2177.
- What is Keystone Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Keystone Pharmacy Inc is (616) 974-9792.
- Does Keystone Pharmacy Inc accept Medicare?
- Keystone Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Keystone Pharmacy Inc?
- The authorized official listed on Keystone Pharmacy Inc's NPPES record is David Miller, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keystone Pharmacy Inc's NPI active?
- Yes — Keystone Pharmacy Inc's NPI (1316049745) is active in the NPPES registry as of the last update on 2017-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.