Old Town Pharmacy Number 2 Llc
Pharmacy
119 E Main St, Pierce City
Missouri, 65723-1228
417-476-2828 417-476-5198
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.