Active NPI
Route 7 Pharmacy Inc
- Community/Retail Pharmacy
- Wayland, KY
National Provider Identifier
1265212625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ROUTE 7 PHARMACY INC
- Practice address
- 2612 King Kelly Coleman Hwy.
Wayland, KY 41666 - Phone
- (606) 284-2009
- Fax
- (833) 623-3078
- NPI assigned
- Oct 3, 2023
- 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
- Mr. Bradley Douglas Little, PHARM.D.
- Title
- Owner/Pharmacist in Charge
- Phone
- (606) 438-8300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2612 King Kelly Coleman Hwy.
Wayland, KY 41666
Mailing address
PO Box 250
Wayland, KY 41666-0250
Phone (606) 438-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240506001980 | KY | Part B Supplier - Pharmacy | 2860832979 | Practice locations: Wayland, KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Wayland, KY
- NPI 1932975943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711497600000",
"number": "1265212625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250",
"city": "WAYLAND",
"state": "KY",
"postal_code": "416660250",
"telephone_number": "606-438-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 KING KELLY COLEMAN HWY.",
"city": "WAYLAND",
"state": "KY",
"postal_code": "41666",
"telephone_number": "606-284-2009",
"fax_number": "833-623-3078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROUTE 7 PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-03",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A",
"authorized_official_last_name": "LITTLE",
"authorized_official_first_name": "BRADLEY",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "606-438-8300",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.