BENTON DISCOUNT PHARMACY (EPSDT) — NPI 1346427242 (Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy in BENTON, KY)

CMS-1500 Box 24J / 33a • NPI

1346427242

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3336S0011X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy

Box 32 Service Location & ZIP+4

2606 MAIN ST, BENTON, KY, 42025-1819

✓ 9-Digit EDI 837 ZIP+4 (42025-1819)

Practice Phone & Referral Fax

(270) 527-1409

Fax: (270) 527-2801

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1346427242 (BENTON DISCOUNT PHARMACY (EPSDT)) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1346427242` (NPI-2 Organization / Facility)
Provider / Legal Name	BENTON DISCOUNT PHARMACY (EPSDT)
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy NUCC Code: `3336S0011X` (Pharmacy, Specialty Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2606 MAIN ST, BENTON, KY, 42025-1819
Practice Telephone / Fax	Tel: (270) 527-1409 \| Fax: (270) 527-2801
Administrative Mailing Address	2606 MAIN ST, BENTON, KY, 42025-1819
Enumeration & Last Sync	Enumerated: 2008-01-23 \| CMS Record Updated: 2021-10-06
Authorized Official	MORGAN BECK (Pharmacist/Pharmacy Mgr)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2606 MAIN ST, BENTON, KY, 42025-1819

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Plain-English Taxonomy & CMS Crosswalk (3336S0011X)

What Does Taxonomy Code 3336S0011X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336S0011X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy, Specialty Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BENTON DISCOUNT PHARMACY (EPSDT))

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3336S0011X` — Pharmacy, Specialty Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy, Specialty Pharmacy	State: KY \| License: `P01049` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BENTON DISCOUNT PHARMACY (EPSDT) (NPI #1346427242)