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

Keystone Pharmacy Inc

Organization Pharmacy · NPI 1316049745

Keystone Pharmacy Inc is a Pharmacy in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
3
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
Grand Rapids, MI 49546-2177
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

Compounding Pharmacy (primary) Taxonomy 3336C0004X · Licence 5301007431 (MI)
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1316049745
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Miller — Owner · (616) 974-9792
Other names Keystone Pharmacy
NPI enumeratedSeptember 5, 2006
Last updated in NPPESMarch 17, 2017
Mailing address4021 Cascade Rd Se, Grand Rapids, MI 49546-2177

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