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OLD TOWN PHARMACY
NPI 1578754701
Pharmacy - Community/Retail Pharmacy in Monett, MO

Active since August 05, 2007
100A CHAPEL DRIVE, MONETT, MO 65708(417) 635-1100(417) 635-1103 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 4, 2024, Mar 7, 2023, Jan 22, 2020 (3 updates tracked since 2020).

About Old Town Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD TOWN PHARMACY (NPI 1578754701) is a healthcare organization registered as a community/retail pharmacy in Monett, Missouri and active in the NPI registry since August 2007. The organization lists Shane Michael Becker, Owner/manager/pic, as its authorized official.

NPPES Registry Identity

NPI1578754701
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOLD TOWN PHARMACY LLC
Location Address100A CHAPEL DRIVEMonett, MO 65708
Mailing Address100a Chapel DrMonett, MO 65708 · (417) 635-1100 · Fax (417) 635-1103
Phone(417) 635-1100
Fax(417) 635-1103
Organization SubpartNo
Authorized OfficialShane Michael BeckerOwner/manager/pic · (417) 635-1100
Enumeration DateAugust 5, 2007
Last NPPES UpdateJune 4, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1578754701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses✔ Licensed in MO · 2014010847✔ Licensed in MO · 2007022497
Definition
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.
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
100A CHAPEL DRIVE, Monett, MO 65708
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Other Names 1

Doing Business AsOld Town Pharmacy

Other Identifiers 3

Other2007022497MO · Pharmacy Lic
Medicaid19735928MO
Other2637506Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
405 services405 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
65 services65 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
29 services29 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Town Pharmacy LLC's NPI number?

The NPI number for Old Town Pharmacy LLC is 1578754701. It was assigned to this organization in the NPPES registry on August 5, 2007. The provider is doing business as Old Town Pharmacy.

Where is Old Town Pharmacy LLC located?

Old Town Pharmacy LLC is located at 100A Chapel Drive, Monett, MO 65708. The listed phone number is (417) 635-1100.

What is Old Town Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Old Town Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Old Town Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Old Town Pharmacy LLC was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.