Organization Active NPI

Medtown LLC

Doing business as MedTown Pharmacy

  • Community/Retail Pharmacy
  • Trinity, AL
National Provider Identifier
1790025609
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
114042 Issued in AL
Legal business name
MEDTOWN LLC
Doing business as
MedTown Pharmacy
Practice address
24333 Alabama Hwy 24, Suite a
Trinity, AL 35673
Phone
(800) 246-2677
Fax
(702) 866-2689
NPI assigned
Mar 1, 2013
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Parag D Choski
Title
Director of Pharmacy
Phone
(954) 921-4661

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 114042 AL Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

24333 Alabama Hwy 24, Suite a
Trinity, AL 35673

Mailing address

5420 NW 33Rd Ave, Suite 7a
Attn: Compliance
Fort Lauderdale, FL 33309
Phone (954) 921-4661

Other identifiers 2

IdentifierTypeStateIssuer
0138520OtherNCPDP PROVIDER IDENTIFICATION NUMBER
7237350001MedicaidAL

Other names 1

  • MedTown Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210423001953 AL Part B Supplier - Mass Immunization (Roster Biller Only) 6800118159 Practice locations: Trinity, AL
O20210426001456 AL Part B Supplier - Pharmacy 6800118159 Practice locations: Trinity, AL

National Provider Directory

National Provider Directory

Locations

24333 AL Highway 24
Ste A
Trinity, AL 35673
Phone (256) 353-8997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1790025609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 NW 33RD AVE, SUITE 7A",
            "address_2": "ATTN: COMPLIANCE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-921-4661",
            "fax_number": "954-921-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24333 ALABAMA HWY 24, SUITE A",
            "city": "TRINITY",
            "state": "AL",
            "postal_code": "35673",
            "telephone_number": "800-246-2677",
            "fax_number": "702-866-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "CHOSKI",
        "authorized_official_first_name": "PARAG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "954-921-4661"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114042",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0138520",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7237350001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedTown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinity, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.