CMS-1500 Box 24J / 33a • NPI
1427916501
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
3336L0003X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy
Box 32 Service Location & ZIP+4
95 W BROAD ST, DECATUR, MS, 39327-8959
✓ 9-Digit EDI 837 ZIP+4 (39327-8959)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1427916501 (DECATUR DRUGS INC) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1427916501 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | DECATUR DRUGS INC |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy NUCC Code: 3336L0003X (Pharmacy, Long Term Care Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 95 W BROAD ST, DECATUR, MS, 39327-8959 |
| Practice Telephone / Fax | Tel: (601) 635-2646 | Fax: (855) 820-5264 |
| Administrative Mailing Address | PO BOX 98, DECATUR, MS, 39327-0098 |
| Enumeration & Last Sync | Enumerated: 2026-01-15 | CMS Record Updated: 2026-01-21 |
| Authorized Official | CHARLES BOGGAN (Owner/Pharmacist) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (3336L0003X)
What Does Taxonomy Code 3336L0003X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336L0003X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DECATUR DRUGS INC)
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
- 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 |
|---|---|
3336L0003X — Pharmacy, Long Term Care PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Long-term Care Pharmacy | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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