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

S & R Keystone Pharmacy LLC

Organization Pharmacy · NPI 1063509255

S & R Keystone Pharmacy LLC is a Pharmacy in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1358 W North Ave
Baltimore, MD 21217-3536
Phone: (410) 669-1900
Fax: (410) 728-3375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence P02060 (MD)
Pharmacy Taxonomy 333600000X

Record details

NPI number1063509255
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Syam Potluri — Managing Member · (443) 823-3350
Other names Keystone Pharmacy; Keystone Pharmacy Inc
NPI enumeratedOctober 7, 2006
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022
Mailing address1358 W North Ave, Baltimore, MD 21217-3536

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