Active NPI
Little & Waddell Inc
- Community/Retail Pharmacy
- Prestonsburg, KY
National Provider Identifier
1578505350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PO7635
- Legal business name
- LITTLE & WADDELL INC
- Doing business as
- MEDZONE PHARMACY
- Practice address
- 5291 Kentucky Route 321
Prestonsburg, KY 41653-9168 - Phone
- (606) 886-9954
- Fax
- (606) 889-9404
- NPI assigned
- Jun 13, 2006
- 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. Paul D Reffett, R.PH.
- Title
- President Owner Pharmacist
- Phone
- (606) 889-9003
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PO7635 | KY | |
| Community/Retail Pharmacy | 3336C0003X | PO7635 | KY | Primary |
Addresses
Primary practice location
5291 Kentucky Route 321
Prestonsburg, KY 41653-9168
Mailing address
PO Box 1349
Prestonsburg, KY 41653-5349
Phone (606) 889-9003
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207861 | Other | KY | KY SALES AND USE |
| 1825352 | Other | NCPDP/NABP | |
| 90360025 | Other | KY | MEDICAID DME |
| 54034004 | Medicaid | KY |
Other names 1
- MEDZONE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040920000981 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254309065 | Practice locations: Prestonsburg, KY |
National Provider Directory
National Provider DirectoryLocations
5291 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7471
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Paintsville, KY
- NPI 1598872194
-
- Pharmacist
- Prestonsburg, KY
- NPI 1659607018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1578505350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1349",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416535349",
"telephone_number": "606-889-9003",
"fax_number": "606-889-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5291 KENTUCKY ROUTE 321",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539168",
"telephone_number": "606-886-9954",
"fax_number": "606-889-9404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITTLE & WADDELL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "REFFETT",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT OWNER PHARMACIST",
"authorized_official_telephone_number": "606-889-9003",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "PO7635",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "PO7635",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY SALES AND USE",
"identifier": "207861",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP/NABP",
"identifier": "1825352",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "90360025",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54034004",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDZONE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prestonsburg, KY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.