Organization Active NPI

Benham and Benham Inc

  • Community/Retail Pharmacy
  • Mountain Home, AR
National Provider Identifier
1831283233
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13885407MedicaidAR
0420808OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Medicap Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.