Olde Towne Pharmacy Inc
Community/Retail Pharmacy
102 W Jackson Blvd, Jonesborough
Tennessee, 37659-1224
423-753-4446 423-753-4587
Olde Towne Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Olde Towne Pharmacy Inc is a Community/Retail Pharmacy in Jonesborough, Tennessee. It is located at 102 W Jackson Blvd, Jonesborough and it's customer support contact number is 423-753-4446. The authorized person of Olde Towne Pharmacy Inc is Joshua Nolen Cloyd who is President/pharmacist In Charge of the pharmacy and his contact number is 423-753-4446. Active license number of Olde Towne Pharmacy Inc is 1980 for Community/Retail Pharmacy in Tennessee. Olde Towne Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Olde Towne Pharmacy Inc 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:
Olde Towne Pharmacy Inc 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: | Olde Towne Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 102 W Jackson Blvd, Jonesborough, Tennessee, 37659-1224 |
| Phone: | 423-753-4446 |
| Fax: | 423-753-4587 |
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: | Joshua Nolen Cloyd |
| Position: | President/pharmacist In Charge |
| Contact Number: | 423-753-4446 |
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: | 1275622961 |
| NPI Enumeration Date: | 12 Oct, 2006 |
| NPI Last Update On: | 23 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Olde Towne Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 1980 | Tennessee | Primary | |
| 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 |
| 4424367 | Other | | Ncpdp Provider Identification Number |
| 9449461 | Medicaid | Tennessee | |
Medicare Enrollment:
Olde Towne Pharmacy Inc 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 |
| 4789743170 | O20081029000762 | Olde Towne Pharmacy, Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 4789743170 | O20100930040782 | Olde Towne Pharmacy, Inc | DME SUPPLIER - PHARMACY |
Products Available:
Olde Towne Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Orthoses: Off-the-shelf |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 102 W Jackson Blvd, Jonesborough, Tennessee |
| Zip: | 37659-1224 |
| Phone Number: | 423-753-4446 |
| Fax Number: | 423-753-4587 |
Patients can reach Olde Towne Pharmacy Inc at
102 W Jackson Blvd, Jonesborough, Tennessee or can
call on customer care at 423-753-4446.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.