OrganizationActive
Old Town Pharmacy Number 2 LLC
NPI 1164976999 · Pharmacy · Pierce City, MO
Old Town Pharmacy Number 2 LLC is a Pharmacy organization in Pierce City, MO (NPI 1164976999).
Provider details
- NPI number
- 1164976999
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Shane Becker, Owner(417) 476-2828
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
119 E Main St
Pierce City, MO 65723-1228
Phone: (417) 476-2828
Fax: (417) 476-5198
Street-level locationGet directions
Mailing address
119 E Main St
Pierce City, MO 65723-1228
Other names (DBA / former)
- Doing business as
- Old Town Pharmacy
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2016-08-31
Frequently asked questions
- What is Old Town Pharmacy Number 2 LLC's NPI number?
- Old Town Pharmacy Number 2 LLC's National Provider Identifier (NPI) is 1164976999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Town Pharmacy Number 2 LLC?
- Old Town Pharmacy Number 2 LLC is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Old Town Pharmacy Number 2 LLC located?
- Old Town Pharmacy Number 2 LLC's practice location on file with NPPES is 119 E Main St, Pierce City, MO 65723-1228.
- What is Old Town Pharmacy Number 2 LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Town Pharmacy Number 2 LLC is (417) 476-2828.
- Who is the authorized official for Old Town Pharmacy Number 2 LLC?
- The authorized official listed on Old Town Pharmacy Number 2 LLC's NPPES record is Shane Becker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Town Pharmacy Number 2 LLC's NPI active?
- Yes — Old Town Pharmacy Number 2 LLC's NPI (1164976999) is active in the NPPES registry as of the last update on 2016-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.