Old Town Pharmacy Number 2 Llc is an authorized DME supplier for medicare equipments and products.
Old Town Pharmacy Number 2 Llc is a Pharmacy in Pierce City, Missouri. It is located at 119 E Main St, Pierce City and it's customer support contact number is 417-476-2828. The authorized person of Old Town Pharmacy Number 2 Llc is Shane Becker who is Owner of the pharmacy and his contact number is 417-476-2828. Active license number of Old Town Pharmacy Number 2 Llc is 2016027850 for Pharmacy in Missouri. Old Town Pharmacy Number 2 Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Old Town Pharmacy Number 2 Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Old Town Pharmacy Number 2 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:
Old Town Pharmacy Number 2 Llc
Type:
Pharmacy
Location:
119 E Main St, Pierce City, Missouri, 65723-1228
Phone:
417-476-2828
Fax:
417-476-5198
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:
Shane Becker
Position:
Owner
Contact Number:
417-476-2828
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:
1164976999
NPI Enumeration Date:
10 Aug, 2016
NPI Last Update On:
31 Aug, 2016
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 Number 2 Llc are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
2016027850
Missouri
Primary
Community/Retail Pharmacy
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
2162359
Other
Pk
Medicare Enrollment:
Old Town Pharmacy Number 2 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
4587935978
O20170803000779
Old Town Pharmacy Number 2 Llc
PART B SUPPLIER - OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
119 E Main St, Pierce City, Missouri
Zip:
65723-1228
Phone Number:
417-476-2828
Fax Number:
417-476-5198
Patients can reach Old Town Pharmacy Number 2 Llc at 119 E Main St, Pierce City, Missouri or can call on customer care at 417-476-2828.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Pierce City, Missouri
No other Pharmacies is available in Pierce City, MO.