Organization
KEYSTONE RX CORPORATION INC
Active
Organization
KEYSTONE RX CORPORATION INC
Active
Other names
Dave's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RANDOLPH (PHARMACIST)
(308) 760-1966
Entity
Organization
Contact information
Practice address
223 BOX BUTTE AVE, ALLIANCE, NE 69301-3741
(308) 762-4811
(308) 487-3409
Mailing address
PO BOX 95, HEMINGFORD, NE 69348-0095
(308) 762-4811
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
718
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264060-00
—
NE
01
—
2177805
PK
—
Enumeration date
05/24/2018
Last updated
09/16/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up