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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2164500 | 01 |
Other Name | Type Code |
---|---|
The Pharmacy at LSU | Doing Business As Name - Organization |
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 |
Street Address |
STUDENT HEALTH CENTER BUILDING INFIRMARY DR ROOM 172 LOUISIANA STATE UNIVERSITY |
City | BATON ROUGE |
State | LA |
Zip Code | 70803-0001 |
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 Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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] |
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 |
City | BATON ROUGE |
Zip Code | 70803 |
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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.