Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Town Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1578754701

Old Town Pharmacy LLC is a Community/Retail Pharmacy in Monett, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

100A Chapel Dr
Monett, MO 65708
Phone: (417) 635-1100
Fax: (417) 635-1103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2014010847 (MO)
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 2007022497 (MO)
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1578754701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Becker — Owner/Manager/Pic · (417) 635-1100
Other names Old Town Pharmacy
NPI enumeratedAugust 5, 2007
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address100a Chapel Dr, Monett, MO 65708

Other providers in Monett