KEYSTONE WHOLESALE CO (NPI# 1194866582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194866582 |
| Entity Type | Organization |
| Organization Name | KEYSTONE WHOLESALE CO |
| Other Organization Name | KEY-MED PHARMACY CO. |
| Practice Address |
7328 Maple St Omaha NE 68134-6829 |
| Practice Telephone | 4023912659 |
| Practice Fax Number | 4023911524 |
| Mailing Telephone | 4023912659 |
| Mailing Fax Number | 4023911524 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-07-07 |
| Authorized Official Name | MANNY GOLDBERG (PRES) |
| Authorized Official Telephone | 4023912659 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1349 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025699700 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2800515 | 01 |
| Other Name | Type Code |
|---|---|
| KEY-MED PHARMACY CO. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003982307 | Keystone Wholesale Co | Durable Medical Equipment & Medical Supplies | 7328 Maple Street, Omaha, NE 68134-6829 | 2006-11-28 |
| Street Address |
7328 MAPLE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68134-6829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568686038 | William J Young | Pharmacist | 7328 Maple St, Omaha, NE 68134-6829 | 2007-04-13 |
| 1972625408 | Bonnie C. Vandenberg | Pharmacist | 7328 Maple St, Omaha, NE 68134-6829 | 2007-04-04 |
| 1225157324 | Manny Goldberg | Pharmacist | 7328 Maple St, Omaha, NE 68134-6829 | 2007-03-28 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1568704948 | Jsk Drug LLC | Pharmacy | 11722 Stonegate Cir, Omaha, NE 68164-3692 | 2013-03-22 |
| 1164763470 | Midwest Surgical Hosptial, LLC. | Pharmacy | 7915 Farnam Dr, Omaha, NE 68114-4504 | 2013-03-12 |
| 1427397322 | Stonybrook Pharmacy LLC | Pharmacy | 13921 S Plz, Omaha, NE 68137-2916 | 2013-02-12 |
| 1710206768 | Nf Foods LLC | Pharmacy | 1221 S 203rd St, Omaha, NE 68130-2808 | 2010-05-28 |
| 1326295478 | Rockbrook Health Mart Pharmacy | Pharmacy | 10913 Prairie Brook Rd, Omaha, NE 68144-4828 | 2008-08-20 |
| 1124211206 | Costco Wholesale Corporation | Pharmacy | 12300 W Dodge Rd, Omaha, NE 68154 | 2007-08-22 |
| 1932242609 | No Frills Pharmacy LLC | Pharmacy | 8005 Blondo St, Omaha, NE 68134-6664 | 2007-02-14 |
| 1013050780 | No Frills Pharmacy LLC | Pharmacy | 820 N Saddle Creek Rd, Omaha, NE 68132-2520 | 2007-02-14 |
| 1851400824 | Kubat Pharmacy LLC | Pharmacy | 2401 N St, Omaha, NE 68107-2708 | 2006-08-30 |
| 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.