Old Town Pharmacy is an authorized DME supplier for medicare equipments and products.
Old Town Pharmacy is a Community/Retail Pharmacy in Monett, Missouri. This pharmacy is owned and operated by Old Town Pharmacy Llc. It is located at 100a Chapel Drive, Monett and it's customer support contact number is 417-635-1100. The authorized person of Old Town Pharmacy is Mr. Shane Michael Becker, PHARMD RPH who is Owner/manager/pic of the pharmacy and his contact number is 417-635-1100. Active license number of Old Town Pharmacy is 2014010847 for Community/Retail Pharmacy in Missouri. Old Town Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Old Town Pharmacy 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:
Old Town Pharmacy 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:
Old Town Pharmacy
Type:
Community/Retail Pharmacy
Location:
100a Chapel Drive, Monett, Missouri, 65708
Phone:
417-635-1100
Fax:
417-635-1103
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. Shane Michael Becker
Credentials:
PHARMD RPH
Position:
Owner/manager/pic
Contact Number:
417-635-1100
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:
1578754701
NPI Enumeration Date:
05 Aug, 2007
NPI Last Update On:
04 Jun, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Old Town Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
2014010847
Missouri
Primary
Community/Retail Pharmacy
2007022497
Missouri
Secondary
Long Term Care 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
2007022497
Other
Missouri
Pharmacy Lic
19735928
Medicaid
Missouri
2637506
Other
Ncpdp
Medicare Enrollment:
Old Town Pharmacy 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
8628262359
O20101027000284
Old Town Pharmacy, Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
8628262359
O20110418000267
Old Town Pharmacy, Llc
DME SUPPLIER - PHARMACY
Products Available:
Old Town Pharmacy has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Diabetic Shoes & Inserts: Custom Fabricated
Diabetic Shoes & Inserts: Prefabricated
Enteral Equipment And/or Supplies
Enteral Nutrients
Heat & Cold Applications
Infusion Pumps & Supplies: Insulin Infusion
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Ostomy Supplies
Parenteral Equipment And/or Supplies
Parenteral Nutrients
Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads
Surgical Dressings
Transcutaneous Electrical Nerve Stimulators (tens) Units
Urological Supplies
Walkers
Wheelchairs & Accessories: Standard Manual
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
100a Chapel Dr, Monett, Missouri
Zip:
65708
Phone Number:
417-635-1100
Fax Number:
417-635-1103
Patients can reach Old Town Pharmacy at 100a Chapel Drive, Monett, Missouri or can call on customer care at 417-635-1100.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
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