Old Town Pharmacy

Community/Retail Pharmacy Accepts Medicare


  
  100a Chapel Drive, Monett
Missouri, 65708

 417-635-1100    417-635-1103
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.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 2014010847MissouriPrimary
Community/Retail Pharmacy 2007022497MissouriSecondary
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.
IdentifierTypeStateIssuer
2007022497OtherMissouriPharmacy Lic
19735928MedicaidMissouri
2637506OtherNcpdp
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 NameMedicare Entity Type
8628262359O20101027000284Old Town Pharmacy, LlcPART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
8628262359O20110418000267Old Town Pharmacy, LlcDME 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 11 November, 2024.

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