KEYSTONE WHOLESALE CO (NPI# 1003982307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003982307 |
| Entity Type | Organization |
| Organization Name | KEYSTONE WHOLESALE CO |
| Other Organization Name | MEDICINE CHEST HOME CARE |
| Practice Address |
7328 Maple Street Omaha NE 68134-6829 |
| Practice Telephone | 4023912659 |
| Practice Fax Number | 4023910038 |
| Mailing Telephone | 4023912659 |
| Mailing Fax Number | 4023910038 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-10-11 |
| Authorized Official Name | MR. MANNY GOLDBERG (PRESIDENT) |
| Authorized Official Telephone | 4023912659 |
| Authorized Official Credential | R.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 93081454401 | 05 | |
| IA | 1125096 | 05 | |
| IA | BCBS | 9942 | 01 |
| NE | BCBS | 9942 | 01 |
| Other Name | Type Code |
|---|---|
| Medicine Chest Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194866582 | Keystone Wholesale Co | Pharmacy | 7328 Maple St, Omaha, NE 68134-6829 | 2007-02-09 |
| Street Address |
7328 MAPLE STREET |
| City | OMAHA |
| State | NE |
| Zip Code | 68134-6829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659802262 | Destinee Myres | Registered Nurse | 9270 Ames Ave, Omaha, NE 68134 | 2017-03-24 |
| 1689062861 | Good Hope Healthcare, Inc. | Skilled Nursing Facility | 7501 Keystone Drive, Omaha, NE 68134 | 2014-12-22 |
| 1538557772 | Megan Pendley | Counselor | 2808 North 75th Street, Omaha, NE 68134 | 2014-12-22 |
| 1477823771 | Warren Leonard Wallin | Pharmacist | 5225 North 90 St Street, Omaha, NE 68134 | 2012-01-04 |
| 1851613731 | Bobbi J Bussart | Counselor | 5843 N 90th, Omaha, NE 68134 | 2010-02-19 |
| 1386879559 | Makovicka Harms Group PC | Physical Therapist | 4201 N 90th Street, Omaha, NE 68134 | 2009-05-18 |
| 1093906216 | Deepthi Samindla | Family Medicine | 4229 North 90th Street, Omaha, NE 68134 | 2007-08-05 |
| 1740489384 | Tami Michelle Teut | Occupational Therapist | 7300 Graceland Drive, Omaha, NE 68134 | 2007-07-13 |
| 1447389200 | Mary Jo Atwood | Counselor | 10642 Old Maple Rd, Omaha, NE 68134 | 2007-03-05 |
| 1568502391 | Kimberly Lavern Mcmorris | Counselor | 2805 N 72 Street, Omaha, NE 68134 | 2007-02-08 |
| Find all providers in zip 68134 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968465 | Madison County Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 5420 F St, Omaha, NE 68117-2815 | 2020-07-06 |
| 1972120004 | Physicians Clinic Inc | Durable Medical Equipment & Medical Supplies | 6700 Mercy Rd Ste 109, Omaha, NE 68106-2613 | 2020-07-06 |
| 1487129425 | Sakrx, LLC | Durable Medical Equipment & Medical Supplies | 2915 Leavenworth St, Omaha, NE 68105-2739 | 2018-10-05 |
| 1982187654 | Us Pharmacy | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 144, Omaha, NE 68114-3417 | 2018-09-10 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1265964886 | Personal Hme LLC | Durable Medical Equipment & Medical Supplies | 5346 S 136th St, 390081, Omaha, NE 68137-3001 | 2017-04-02 |
| 1306209127 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4001 Leavenworth St Ste 150a, Omaha, NE 68105-1026 | 2016-03-30 |
| 1194108688 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5115 S 111th St, Omaha, NE 68137-2341 | 2015-07-02 |
| 1982097804 | Miller Orthopaedic Affiliates PC | Durable Medical Equipment & Medical Supplies | 16221 Evans Plz, Omaha, NE 68116-6444 | 2015-03-17 |
| 1295132157 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 17500 Burke St Ste 100, Omaha, NE 68118-2244 | 2014-11-20 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.