Organization Active NPI

Little & Waddell Inc

  • Community/Retail Pharmacy
  • Prestonsburg, KY
National Provider Identifier
1578505350
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PO7635 Issued in KY
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

Updated by the provider on Mar 7, 2023

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.NPI 1598872194
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
207861OtherKYKY SALES AND USE
1825352OtherNCPDP/NABP
90360025OtherKYMEDICAID DME
54034004MedicaidKY

Other names 1

  • MEDZONE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920000981 KY Part B Supplier - Mass Immunization (Roster Biller Only) 1254309065 Practice locations: Prestonsburg, KY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.