OLD TOWN PHARMACY NUMBER 2 LLC (NPI# 1164976999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164976999 |
| Entity Type | Organization |
| Organization Name | OLD TOWN PHARMACY NUMBER 2 LLC |
| Other Organization Name | OLD TOWN PHARMACY |
| Practice Address |
119 E Main St Pierce City MO 65723-1228 |
| Practice Telephone | 4174762828 |
| Practice Fax Number | 4174765198 |
| Mailing Telephone | 4174762828 |
| Mailing Fax Number | 4174765198 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-31 |
| Authorized Official Name | SHANE BECKER (OWNER) |
| Authorized Official Telephone | 4174762828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 2016027850 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2162359 | 01 |
| Other Name | Type Code |
|---|---|
| Old Town Pharmacy | Doing Business As Name - Organization |
| Street Address |
119 E MAIN ST |
| City | PIERCE CITY |
| State | MO |
| Zip Code | 65723-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447329966 | Thompson Family Drug | Pharmacy | 119 E Main St, Pierce City, MO 65723-1228 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959139 | Cathy Ingalls | Nurse Practitioner | 6633 Highway 37, Pierce City, MO 65723 | 2005-08-19 |
| 1881849982 | Clark Community Mental Health Center | Counselor | 104 West Main, Pierce City, MO 65723 | 2008-11-18 |
| 1134326333 | Children's Center | Voluntary or Charitable | 6633 Highway 37, Pierce City, MO 65723 | 2007-06-29 |
| 1891917043 | Christy K Ostrosky | Occupational Therapist | 300 Myrtle St, School Dist R6 Pierce City, Pierce City, MO 65723-0305 | 2007-05-03 |
| 1740500388 | Melissa Deann Brown | Occupational Therapist | 811 N Elm St, Pierce City, MO 65723-1008 | 2010-06-06 |
| 1063620268 | The Arc of The Ozarks | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 205 N Elm St, Pierce City, MO 65723-1112 | 2007-05-19 |
| 1851433767 | School Dist R6 Pierce City | Physical Therapist | 300 N Myrtle St, Pierce City, MO 65723-1124 | 2007-02-14 |
| 1235418179 | Emily Wood | Speech-Language Pathologist | 300 N Myrtle St, Pierce City, MO 65723-1124 | 2011-08-09 |
| 1164611802 | Sheryl Kay Fuchs | Speech-Language Pathologist | 300 N Myrtle St, Pierce City R-vi, Pierce City, MO 65723-1124 | 2007-10-18 |
| 1497297626 | Clark Community Mental Health Center | Community/Behavioral Health | 104 W Main St, Pierce City, MO 65723-1210 | 2016-11-04 |
| Find all providers in zip 65723 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506437 | E Health Pharmacy, LLC | Pharmacy | 411d Northview Rd, Nixa, MO 65714-8679 | 2020-10-26 |
| 1750994869 | Script Partner Pharmacy LLC | Pharmacy | 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 | 2020-08-28 |
| 1821600545 | Debbie S Pharmacy LLC | Pharmacy | 815 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1762 | 2020-08-24 |
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1689207870 | Washington University Cancer Center Pharmacy - North County | Pharmacy | 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 | 2020-02-17 |
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1427606912 | Medley Pharmacy Inc | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-08-28 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | PIERCE CITY |
| Zip Code | 65723 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.