JOBATH ENTERPRISES, INC (NPI# 1083790976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083790976 |
| Entity Type | Organization |
| Organization Name | JOBATH ENTERPRISES, INC |
| Other Organization Name | HAYSI DRUG CENTER |
| Practice Address |
23906 Dickenson Highway Haysi VA 24256-0515 |
| Mailing Address |
Po Box 515 Haysi VA 24256-0515 |
| Practice Telephone | 2768655135 |
| Practice Fax Number | 2768655006 |
| Mailing Telephone | 2768655135 |
| Mailing Fax Number | 2768655006 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | JOEL C THORNBURY (VP/CFO) |
| Authorized Official Telephone | 2769354777 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 0478730001 | Suppliers | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 009138714 | VA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0201001578 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NABP | 4806658 | 01 | |
| FEDERAL DEA | AH8345123 | 01 | |
| VA | 009138714 | 05 | |
| VA | 008511829 | 05 | |
| VA | STATE LIC # | 0201001578 | 01 |
| Other Name | Type Code |
|---|---|
| Haysi Drug Center | Doing Business As Name - Organization |
| Street Address |
23906 DICKENSON HIGHWAY |
| City | HAYSI |
| State | VA |
| Zip Code | 24256-0515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840537 | Viers Medical Clinic Pllc | Nurse Practitioner | 246 Haysi Main St., Haysi, VA 24256 | 2019-06-14 |
| 1073901781 | Mellisa Nichole Owens | Occupational Therapy Assistant | 676 Laurel Branch, Haysi, VA 24256 | 2015-01-05 |
| 1154679207 | Robert Keith Bailey | Pharmacist | 23906 Dickenson Hwy, Haysi, VA 24256 | 2012-08-21 |
| 1053694547 | Family Preservation Services, Inc | Community/Behavioral Health | 196 Tiger Circle, Haysi, VA 24256 | 2011-09-21 |
| 1952423667 | St Charles Health Council Inc | Clinic/Center | 102 Oquinn Drive, Haysi, VA 24256 | 2007-04-04 |
| 1114914678 | Mountain Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 521 Main St, Haysi, VA 24256 | 2005-09-30 |
| 1326460650 | Alysia Ann Hoover-thompson | Psychologist | 162 Medical Center Boulevard, Haysi, VA 24256 | 2014-01-06 |
| 1679909535 | Bridge Building Youth and Family | Counselor | 200 Main Street, Haysi, VA 24256 | 2013-09-23 |
| 1235422700 | Family Preservation Services, Inc | Community/Behavioral Health | 320 Main Street, Haysi, VA 24256 | 2011-05-17 |
| 1184714230 | Russell Fork Pharmacies, Inc. | Pharmacy | 251 Main Street, Haysi, VA 24256 | 2006-10-12 |
| Find all providers in zip 24256 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184714230 | Russell Fork Pharmacies, Inc. | Pharmacy | 251 Main Street, Haysi, VA 24256 | 2006-10-12 |
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|---|---|---|---|---|
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| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1932720174 | Warrington Wellness and Compounding Pharmacy | Pharmacy | 805 Kent Pl Ste 104, Chesapeake, VA 23320-0768 | 2020-04-28 |
| 1467081273 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Hwy # 109b, Centreville, VA 20121-5829 | 2020-04-03 |
| 1174151716 | Vandorn Apothecary LLC | Pharmacy | 5724 Edsall Rd Alexandria Va 22304, Alexandria, VA 22304-4712 | 2020-03-30 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1477193936 | Anderson & Payne Pharmacy Inc | Pharmacy | 16 Gosnell Xing Ste 101, Staunton, VA 24401-6344 | 2020-01-13 |
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1215578901 | Jtj Medical Supply, Inc. | Pharmacy | 1001 Monticello Ave, Norfolk, VA 23510-2564 | 2019-10-03 |
| 1659912889 | Aylin Unal | Pharmacy | 1409 Emmet St N, Charlottesville, VA 22903-4874 | 2019-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.