Organization Active NPI

Ppad3, LLC

Doing business as Prescription Pad of Weaverville

  • Community/Retail Pharmacy
  • Weaverville, NC
National Provider Identifier
1811583552
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PPAD3, LLC
Doing business as
Prescription Pad of Weaverville
Practice address
3 N Main St
Weaverville, NC 28787-9427
Phone
(828) 484-7800
Fax
(828) 484-8956
NPI assigned
Dec 16, 2020
Last updated
Dec 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Cole Herrell, PHARMDNPI 1215313382
Title
Co-Owner
Phone
(828) 446-4595

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)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

3 N Main St
Weaverville, NC 28787-9427

Mailing address

3 N Main St
Weaverville, NC 28787-9427
Phone (828) 484-7800

Other names 1

  • Prescription Pad of Weaverville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210603001009 NC Part B Supplier - Pharmacy 8820497381 Practice locations: Weaverville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2231390Ppad3 LLC Dba Prescription Pad of Weaverville3 N Main St, Weaverville, NC 28787Certificate of waiverAug 2, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1811583552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879427",
            "telephone_number": "828-484-7800",
            "fax_number": "828-484-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879427",
            "telephone_number": "828-484-7800",
            "fax_number": "828-484-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPAD3, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "HERRELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "828-446-4595",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Pad of Weaverville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weaverville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.