Etown Pharmacy Llc
Community/Retail Pharmacy
914 N Dixie Ave Ste 103, Elizabethtown
Kentucky, 42701-2536
270-900-1583 270-900-1594
Etown Pharmacy Llc is a Community/Retail Pharmacy in Elizabethtown, Kentucky. It is located at 914 N Dixie Ave Ste 103, Elizabethtown and it's customer support contact number is 270-900-1583. The authorized person of Etown Pharmacy Llc is Mohammed Shajiuddin who is Owner, Administrator of the pharmacy and his contact number is 615-686-6420. Active license number of Etown Pharmacy Llc is P07451 for Community/Retail Pharmacy in Kentucky. Etown Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Etown 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:
Etown 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: | Etown Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 914 N Dixie Ave Ste 103, Elizabethtown,
Kentucky, 42701-2536 |
| Phone: | 270-900-1583 |
| Fax: | 270-900-1594 |
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: | Mohammed Shajiuddin |
| Position: | Owner, Administrator |
| Contact Number: | 615-686-6420 |
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: | 1295020741 |
| NPI Enumeration Date: | 13 Jun, 2011 |
| NPI Last Update On: | 01 Jul, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Etown Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P07451 | Kentucky | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
| Compounding 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 |
| 7100170610 | Medicaid | Kentucky | |
| 2130699 | Other | | Pk |
Medicare Enrollment:
Etown 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 |
| 4880851849 | O20120201001021 | Etown Pharmacy Llc | DME SUPPLIER - PHARMACY |
| 4880851849 | O20121221000217 | Etown Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 914 N Dixie Ave Ste 103,
Elizabethtown, Kentucky |
| Zip: | 42701-2536 |
| Phone Number: | 270-900-1583 |
| Fax Number: | 270-900-1594 |
Patients can reach Etown Pharmacy Llc at
914 N Dixie Ave Ste 103, Elizabethtown, Kentucky or can
call on customer care at 270-900-1583.
Comments/ Reviews:
Read all the reviews posted for Etown Pharmacy Llc below. You may also share your own experience with Etown Pharmacy Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.