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Keystone Pharmacy Inc

Compounding Pharmacy in Grand Rapids, MI · enumerated 2006 · authorized official David Miller, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316049745

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Registry record

Entity type Organization (Type 2)
Legal business name Keystone Pharmacy Inc
Other name <Unavail>
Practice address 4021 Cascade Rd Se, Grand Rapids, MI, 49546
Phone (616) 974-9792
Fax (616) 464-3469
Enumeration date Sep 5, 2006
Last updated in NPPES Mar 17, 2017

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Secondary
3336C0004X Compounding Pharmacy Suppliers · License 5301007431 (MI) Primary

Authorized official

Name David Miller
Title Owner
Phone (616) 974-9792

Other identifiers

Identifier Type State Issuer
2045985 Other - PK
2369086 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Keystone Pharmacy Inc?
Keystone Pharmacy Inc is registered in NPPES as a Compounding Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-17.