KEYSTONE PHARMACY SERVICES LLC


Address: Student Health Center Building, Infirmary Dr Room 172 Louisiana State University, Baton Rouge, LA 70803-0001
Phone: 2255785651

KEYSTONE PHARMACY SERVICES LLC (NPI# 1629528526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629528526
Entity Type Organization
Organization Name KEYSTONE PHARMACY SERVICES LLC
Other Organization Name THE PHARMACY AT LSU
Practice Address Student Health Center Building
Infirmary Dr Room 172 Louisiana State University
Baton Rouge
LA 70803-0001
Mailing Address 10360 Deerborn Lane
Knoxille
TN 37932
Practice Telephone 2255785651
Practice Fax Number 2255787684
Mailing Telephone 8656717800
Mailing Fax Number 8656710064
Enumeration Date 2016-10-04
Last Update Date 2018-07-19
Authorized Official Name CHRIS JAFFURS (OWNER)
Authorized Official Telephone 8656717787
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHY.007378-IR LA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2164500 01

Other Provider/Organization Names

Other Name Type Code
The Pharmacy at LSU Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538619614 Keystone Pharmacy Services LLC Pharmacy Broussard Athletic Training Ctr, North Stadium Drive, Baton Rouge, LA 70803-0001 2016-10-12

Office Location

Street Address STUDENT HEALTH CENTER BUILDING
INFIRMARY DR ROOM 172 LOUISIANA STATE UNIVERSITY
City BATON ROUGE
State LA
Zip Code 70803-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649822164 Joshua Vaughn Bunch Specialist/Technologist Lsu Athletic Department, Athletic Training, North Stadium Drive, Baton Rouge, LA 70803 2019-07-15
1225512767 Louisiana State University Pharmacy 1 North Stadium Drive, Broussard Center for Athletic Training, Baton Rouge, LA 70803 2018-09-20
1447652433 Joshua Pratt Specialist/Technologist Lsu Athletic Training, Athletic Administration Building, Baton Rouge, LA 70803 2014-09-22
1851709216 Derek Calvert Specialist/Technologist Lsu Athletic Administration Building, Athletic Training Room, Baton Rouge, LA 70803 2014-07-30
1770924599 Malena Badon Clinical Medical Laboratory 340 East Parker Street, Baton Rouge, LA 70803 2013-07-09
1649394057 Cheryl Larrieu Bourg Pharmacist Lsu Student Health Center Pharmacy, Infirmary Road, Lsu, Baton Rouge, LA 70803 2007-03-19
1548369465 Louisiana State Univ Students Health Ctr Pharmacist Infirmary Road, Room 172 Pharmacy, Baton Rouge, LA 70803 2006-09-21
1912937145 Louisiana Emergency & Trauma Specialists Emergency Medicine 3600 Florida Blvd, Baton Rouge, LA 70803 2006-07-04
1295373025 Jacqueline Casey Crouch Student in an Organized Health Care Education/Training Program North Stadium Drive Athletics Administration Building, Baton Rouge, LA 70803-0001 2019-12-11
1013552512 Kelly Stephens Specialist/Technologist 1 North Stadium Dr, Baton Rouge, LA 70803-0001 2019-11-08
Find all providers in zip 70803

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639779788 Harvey Lee Smith Jr. Pharmacy 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 2020-10-28
1619595584 Brown's Pharmacy, LLC Pharmacy 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 2020-07-08
1518590769 La Farmacis, LLC Pharmacy 9301 Burbank Dr, Baton Rouge, LA 70820-8604 2020-02-17
1427695618 Texas Digestive Disease Consultants, Pllc Pharmacy 9103 Jefferson Hwy Ste 200, Baton Rouge, LA 70809-2440 2019-12-06
1912552167 Healthlogic Family Pharmacy LLC Pharmacy 12351 Industriplex Blvd Ste 1, Baton Rouge, LA 70809-5125 2019-08-05
1720545171 Ptg2, LLC Pharmacy 6251 Perkins Rd Ste C, Baton Rouge, LA 70808-4167 2019-02-21
1548734874 Apothecare Pharmacy Baton Rouge Pharmacy 2370 Towne Center Blvd Ste 103, Baton Rouge, LA 70806-8172 2019-01-21
1225512767 Louisiana State University Pharmacy 1 North Stadium Drive, Broussard Center for Athletic Training, Baton Rouge, LA 70803 2018-09-20
1356878839 Healthlogic Pharmacy Solutions 2 LLC Pharmacy 11441 Industriplex Blvd Ste 150, Baton Rouge, LA 70809-4299 2017-05-16
1245777366 Red Stick Pharmacy LLC Pharmacy 18181 Jefferson Hwy Ste 101, Baton Rouge, LA 70817-7424 2017-01-26
Find all providers in BATON ROUGE

Competitor

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City BATON ROUGE
Zip Code 70803

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Dataset Information

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.

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