S & R Keystone Pharmacy Llc
Community/Retail Pharmacy
1358 W North Ave, Baltimore
Maryland, 21217-3536
410-669-1900 410-728-3375
S & R Keystone Pharmacy Llc is a Community/Retail Pharmacy in Baltimore, Maryland. It is located at 1358 W North Ave, Baltimore and it's customer support contact number is 410-669-1900. The authorized person of S & R Keystone Pharmacy Llc is Mr. Syam K Potluri who is Managing Member of the pharmacy and his contact number is 443-823-3350. Active license number of S & R Keystone Pharmacy Llc is P02060 for Community/Retail Pharmacy in Maryland. S & R Keystone Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
S & R Keystone Pharmacy Llc is 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.
Pharmacy Details:
S & R Keystone Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | S & R Keystone Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1358 W North Ave, Baltimore,
Maryland, 21217-3536 |
| Phone: | 410-669-1900 |
| Fax: | 410-728-3375 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Syam K Potluri |
| Position: | Managing Member |
| Contact Number: | 443-823-3350 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1063509255 |
| NPI Enumeration Date: | 07 Oct, 2006 |
| NPI Last Update On: | 06 Jan, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for S & R Keystone Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P02060 | Maryland | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 392202200 | Medicaid | Maryland | |
| 2113811 | Other | | Ncpdp Provider Identification Number |
Medicare Enrollment:
S & R Keystone Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7810014404 | O20100930012541 | Keystone Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
S & R Keystone Pharmacy Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Surgical Dressings | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1358 W North Ave,
Baltimore, Maryland |
| Zip: | 21217-3536 |
| Phone Number: | 410-669-1900 |
| Fax Number: | 410-728-3375 |
Patients can reach S & R Keystone Pharmacy Llc at
1358 W North Ave, Baltimore, Maryland or can
call on customer care at 410-669-1900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.