Active NPI
Benham and Benham Inc
- Community/Retail Pharmacy
- Mountain Home, AR
National Provider Identifier
1831283233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- BENHAM AND BENHAM INC
- Doing business as
- Medicap Pharmacy
- Practice address
- 103 Dyer St
Mountain Home, AR 72653-3513 - Phone
- (870) 425-1538
- Fax
- (870) 425-1541
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danny Benham, RPH
- Title
- Owner Pharmacist
- Phone
- (870) 425-1538
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 0420205 | AR | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
103 Dyer St
Mountain Home, AR 72653-3513
Mailing address
103 Dyer St
Mountain Home, AR 72653-3513
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13885407 | Medicaid | AR | |
| 0420808 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- Medicap Pharmacy
National Provider Directory
National Provider DirectoryLocations
103 Dyer St
Mountain Home, AR 72653
Phone (870) 425-1538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1831283233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 DYER ST",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 DYER ST",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533513",
"telephone_number": "870-425-1538",
"fax_number": "870-425-1541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENHAM AND BENHAM INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "BENHAM",
"authorized_official_first_name": "DANNY",
"authorized_official_title_or_position": "OWNER PHARMACIST",
"authorized_official_telephone_number": "870-425-1538",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AR",
"license": "0420205",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13885407",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "0420808",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medicap Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.