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  5. Keystone Pharmacy, LLC

Keystone Pharmacy, LLC

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Company Details

Name: Keystone Pharmacy, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 10 Oct 2012 (13 years ago)
Business ID: 1009564
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 106 Highland Way, Suite #206Madison, MS 39110
Fictitious names: Keystone Specialty Pharmacy
Historical names: Southern Pharmacy LLC

Links between entities

Type:
Headquarter of
Company Number:
000-537-719
State:
ALABAMA
ALABAMA profile:
Keystone Pharmacy, LLC (AL)

Agent

Name Role Address
Jeffery King Agent 210 Chestnut Spring Rd, Flora, MS 39071

Manager

Name Role Address
Lisa Piercey Manager 298 Chapel Hill Rd, Milan, TN 38358
Lauren Cantrell Manager 209 Nesbit Pl, Madison, MS 39110
Jeffery King Manager 210 Chestnut Spring Rd, Flora, MS 39071

President

Name Role Address
Lisa Piercey President 298 Chapel Hill Rd, Milan, TN 38358

Unique Entity ID

CAGE Code:
7HQ41
UEI Expiration Date:
2017-02-21

Business Information

Activation Date:
2016-02-22
Initial Registration Date:
2015-11-12

Commercial and government entity program

CAGE number:
7HQ41
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-02-22
CAGE Expiration:
2022-02-21

Contact Information

POC:
JEFFREY CLARK

National Provider Identifier

NPI Number:
1407109457
Certification Date:
2024-12-11
Link:
View on NPI website

Authorized Person:

Name:
JEFFERY KING
Role:
CHIEF CLINICAL OFFICER
Phone:
6017079727

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0004X - Compounding Pharmacy
Is Primary:
No
Selected Taxonomy:
3336M0002X - Mail Order Pharmacy
Is Primary:
No
Selected Taxonomy:
3336S0011X - Specialty Pharmacy
Is Primary:
No

Contacts:

Phone:
+1 601-707-9727
Fax:
6015103846

Form 5500 Series

Employer Identification Number (EIN):
461189809
Plan Year:
2023
Number Of Participants:
28
Sponsors Telephone Number:
7316934174
File:
View File
Plan Year:
2022
Number Of Participants:
23
Sponsors Telephone Number:
6015941035
File:
View File
Plan Year:
2021
Number Of Participants:
24
Sponsors Telephone Number:
6015941035
File:
View File
Plan Year:
2020
Number Of Participants:
26
Sponsors Telephone Number:
6015941035
File:
View File
Plan Year:
2019
Number Of Participants:
27
Sponsors Telephone Number:
6017079727
File:
View File

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-07 Annual Report For Keystone Pharmacy, LLC
Amendment Form Filed 2025-01-02 Amendment For Keystone Pharmacy, LLC
Annual Report LLC Filed 2024-01-18 Annual Report For Keystone Pharmacy, LLC
Fictitious Name Renewal Filed 2023-12-12 Fictitious Name Renewal For Keystone Pharmacy, LLC
Annual Report LLC Filed 2023-01-16 Annual Report For Keystone Pharmacy, LLC
Annual Report LLC Filed 2022-01-11 Annual Report For Keystone Pharmacy, LLC
Annual Report LLC Filed 2021-01-05 Annual Report For Keystone Pharmacy, LLC
Annual Report LLC Filed 2020-01-02 Annual Report For Keystone Pharmacy, LLC
Annual Report LLC Filed 2019-01-14 Annual Report For Keystone Pharmacy, LLC
Fictitious Name Registration Filed 2018-12-13 Fictitious Name Registration For Keystone Pharmacy, LLC

USAspending Awards / Financial Assistance

Date:
2020-04-22
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Trademarks Section

Serial Number:
87370454
Mark:
OUR GOAL IS TO HEAL, NOT TO REFILL!
Status:
Registration cancelled because registrant did not file an acceptable declaration under Section 8. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Service Mark
Application Filing Date:
2017-03-14
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
OUR GOAL IS TO HEAL, NOT TO REFILL!
USPTO Link:
View Trademark Status and Document Retrieval (TSDR)

Goods And Services

For:
Retail pharmacy services
First Use:
2016-10-07
International Classes:
035 - Primary Class
Class Status:
SECTION 8 - CANCELLED

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Related by officers

Jeffery King

Mississippi Chapter of the International Association of Special Investigation Units, Inc. R&K Consulting LLC

Lisa Piercey

TRISTELA CAPITAL PARTNERS, LLC

Related by address

106 Highland Way, Suite #206Madison, MS 39110

Keystone Holdings LLC

Date of last update: 29 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website

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