OrganizationActive
Keystone Pharmacy LLC
NPI 1407109457 · Pharmacy · Madison, MS
Keystone Pharmacy LLC is a Pharmacy organization in Madison, MS (NPI 1407109457).
Provider details
- NPI number
- 1407109457
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jeffery King, Chief Clinical Officer(601) 707-9727
Specialties & taxonomies
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
106 Highland Way Ste 206
Madison, MS 39110-6930
Phone: (601) 707-9727
Fax: (601) 510-3846
Street-level locationGet directions
Mailing address
106 Highland Way
Madison, MS 39110-6929
Other names (DBA / former)
- Doing business as
- Keystone Specialty Pharmacy
Registry dates
- Enumerated
- 2012-10-15
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Keystone Pharmacy LLC's NPI number?
- Keystone Pharmacy LLC's National Provider Identifier (NPI) is 1407109457, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keystone Pharmacy LLC?
- Keystone Pharmacy LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Keystone Pharmacy LLC located?
- Keystone Pharmacy LLC's practice location on file with NPPES is 106 Highland Way Ste 206, Madison, MS 39110-6930.
- What is Keystone Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Keystone Pharmacy LLC is (601) 707-9727.
- Who is the authorized official for Keystone Pharmacy LLC?
- The authorized official listed on Keystone Pharmacy LLC's NPPES record is Jeffery King, Chief Clinical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keystone Pharmacy LLC's NPI active?
- Yes — Keystone Pharmacy LLC's NPI (1407109457) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.