MARSHALL COUNTY HOSPITAL PHARMACY
NPI 1003921032
Pharmacy - Institutional Pharmacy in Benton, KY

Q: What is Marshall County Hosp District's NPI number?

The NPI number for Marshall County Hosp District is 1003921032. It was assigned to this organization in the NPPES registry on August 20, 2006. The provider is doing business as Marshall County Hospital Pharmacy.

Q: What is Marshall County Hosp District's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Active since August 20, 2006CLIA 18D0325504 · Accreditation

615 OLD SYMSONIA RD, BENTON, KY 42025(270) 527-4885(270) 527-4893 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2017, Jan 20, 2017, Dec 16, 2016 and 1 more (4 updates tracked since 2016).

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About Marshall County Hospital Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHALL COUNTY HOSPITAL PHARMACY (NPI 1003921032) is a healthcare organization registered as an institutional pharmacy in Benton, Kentucky and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Phyllis Blackwell, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1003921032

Entity TypeOrganization

Primary Taxonomy3336I0012X

Legal Business NameMARSHALL COUNTY HOSP DISTRICT

Location Address615 OLD SYMSONIA RDBenton, KY 42025-5042

Mailing AddressPo Box 630Benton, KY 42025-0630 · (270) 527-4800 · Fax (270) 527-4893

Phone(270) 527-4885

Fax(270) 527-4893

Organization SubpartNo

Authorized OfficialPhyllis BlackwellChief Clinical Officer · (270) 527-4800

Enumeration DateAugust 20, 2006

Last NPPES UpdateFebruary 23, 20174 updates tracked since enumeration

✔ NPI 1003921032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers

Taxonomy Code3336I0012X

License✔ Licensed in KY · P05109

Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

615 OLD SYMSONIA RD, Benton, KY 42025

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Other Names 1

Doing Business AsMarshall County Hospital Pharmacy

Other Identifiers 2

Other2030096Pk

Medicaid54025473KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., AvMed, Blue Cross and Blue Shield of Kansas City and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 18D0325504

Marshall County Hospital Attn Tammy Fredericksen · Benton, KY

Active · expires Jan 2, 2027

CLIA Number18D0325504

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorDr. Christopher Green

Laboratory Phone(270) 527-4890

Laboratory LocationMarshall County Hospital Attn Tammy Fredericksen615 Old Symsonia Road, Benton, KY 42025

CLIA data matches this NPI record on: Address

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOUIS FORTE MD

Emergency Medicine