# MEDTOWN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedTown Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790025609
- **Authorized official:** PARAG D CHOSKI (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (954) 921-4661

## Contact information

- **Practice address:** 24333 ALABAMA HWY 24, SUITE A, TRINITY, AL 35673
- **Practice address phone:** (800) 246-2677
- **Practice address fax:** (702) 866-2689
- **Mailing address:** 5420 NW 33RD AVE, SUITE 7A, ATTN: COMPLIANCE, FORT LAUDERDALE, FL 33309
- **Mailing address phone:** (954) 921-4661
- **Mailing address fax:** (954) 921-0484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114042 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/01/2013
- **Last updated:** 06/26/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0138520 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 7237350001 | — | AL |