Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keystone Pharmacy, Inc

Organization Community/Retail Pharmacy · NPI 1245942572

Keystone Pharmacy, Inc is a Community/Retail Pharmacy in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4021 Cascade Rd SE Ste 50
Grand Rapids, MI 49546
Phone: (616) 974-9792
Fax: (616) 464-3469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1245942572
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKeystone Pharmacy, Inc
Authorized official David Miller — Owner · (616) 974-9792
NPI enumeratedDecember 19, 2022
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023
Mailing address4021 Cascade Rd Se, Suite 50, Grand Rapids, MI 49546

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