Etown Pharmacy Llc is an authorized DME supplier for medicare equipments and products.
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:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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