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

Old Town Pharmacy Number 2 LLC

Organization Pharmacy · NPI 1164976999

Old Town Pharmacy Number 2 LLC is a Pharmacy in Pierce City, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016
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

119 E Main St
Pierce City, MO 65723-1228
Phone: (417) 476-2828
Fax: (417) 476-5198
Show map & directions

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

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 2016027850 (MO)
Community/Retail Pharmacy Taxonomy 3336C0003X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1164976999
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shane Becker — Owner · (417) 476-2828
Other names Old Town Pharmacy
NPI enumeratedAugust 10, 2016
Last updated in NPPESAugust 31, 2016
Mailing address119 E Main St, Pierce City, MO 65723-1228