Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Old Town Pharmacy LLC

Community/Retail Pharmacy in Monett, MO · enumerated 2007 · authorized official Shane Becker, Owner/Manager/Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578754701

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Old Town Pharmacy LLC

Other name <Unavail>

Practice address 100a Chapel Drive, Monett, MO, 65708

Phone (417) 635-1100

Fax (417) 635-1103

Enumeration date Aug 5, 2007

Last updated in NPPES Jun 4, 2024

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 2007022497 (MO) Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 2014010847 (MO) Primary

3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Shane Becker

Title Owner/Manager/Pic

Phone (417) 635-1100

Other identifiers

Identifier	Type	State	Issuer
2007022497	Other	MO	PHARMACY LIC
19735928	Medicaid	MO	-
2637506	Other	-	NCPDP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-06-04. Verify at npiregistry.cms.hhs.gov.

Where is Old Town Pharmacy LLC located?

The practice location on file with NPPES is in Monett, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-04.