POKEY BONES LLC (NPI# 1477590834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477590834 |
| Entity Type | Organization |
| Organization Name | POKEY BONES LLC |
| Other Organization Name | FAAST PHARMACY |
| Practice Address |
3400 Calloway Dr Ste 701 Bakersfield CA 93312-2513 |
| Practice Telephone | 6614107979 |
| Practice Fax Number | 6614107980 |
| Mailing Telephone | 6614107979 |
| Mailing Fax Number | 6614107980 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2011-08-29 |
| Authorized Official Name | LISA FAAST (OWNER) |
| Authorized Official Telephone | 6614107979 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY47454 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 5618181 | 01 | |
| CA | PHY474540 | 05 |
| Other Name | Type Code |
|---|---|
| FAAST PHARMACY | Doing Business As Name - Organization |
| Street Address |
3400 CALLOWAY DR STE 701 |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93312-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292026 | Ana Amparo Cardenas | Dermatology | 3400 Calloway Dr, Ste 200, Bakersfield, CA 93312-2513 | 2005-06-01 |
| 1700281037 | D.a. Health Care Services | Home Health | 3400 Calloway Dr, Suite #101, Bakersfield, CA 93312-2513 | 2014-10-29 |
| 1346594736 | Express Drugs | Pharmacy | 3400 Calloway Dr, Suit 302, Bakersfield, CA 93312-2513 | 2012-11-07 |
| 1285704312 | Lam Trinh | Dentist | 3400 Calloway Dr, Apt 303, Bakersfield, CA 93312-2513 | 2006-11-08 |
| 1033208459 | Virginia Gifford | Physician Assistant | 3400 Calloway Dr, Suite 200, Bakersfield, CA 93312-2513 | 2006-10-12 |
| 1962590810 | Donna J Headrick | Nurse Practitioner | 3400 Calloway Dr, Suite 200, Bakersfield, CA 93312 | 2006-10-10 |
| 1114033842 | Ana Cardenas Dermatology, A Professional Corporation | Dermatology | 3400 Calloway Dr, Suite 200, Bakersfield, CA 93312-2513 | 2006-08-23 |
| 1336141787 | Andrew Zepp | Family Medicine | 3400 Calloway Dr, Bldg 400, Bakersfield, CA 93312-2513 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574225 | Arielle San Antonio | Behavior Technician | 8302 Expresso Drive, Suite 100, Bakersfield, CA 93312 | 2019-08-22 |
| 1295391258 | Sierra Sandra-faye Myers-caldarella | Behavioral Analyst | 8302 Expresso Dr., Suite 100, Bakersfield, CA 93312 | 2019-05-15 |
| 1396286670 | Kern Medical | General Acute Care Hospital | 12716 Sable Point Drive, Bakersfield, CA 93312 | 2017-03-20 |
| 1629511886 | Prime Pulmonary & Sleep Medicine Center, Inc | Clinic/Center | 8305 Brimhall Rd. #1601, Bakersfield, CA 93312 | 2016-11-21 |
| 1427424563 | Jieun Park | Dentist | 4201 Jewetta Ave. A5, Bakersfield, CA 93312 | 2015-08-12 |
| 1710366083 | Monique Cleveland | Counselor | 9830 Brimhall Rd Unit 100, Bakersfield, CA 93312 | 2015-05-20 |
| 1063800985 | Global Non Medical Transportatin,llc | Non-emergency Medical Transport (VAN) | 5204 Sand Castle Ct, Bakersfield, CA 93312 | 2014-12-30 |
| 1508270083 | Joe Y Vuong | Pharmacist | 339 E Pine St ., Lodi, CA 93312 | 2014-06-12 |
| 1992054092 | H. Norman Wright | Counselor | 12200 April Ann Ave, Bakersfield, CA 93312 | 2012-09-05 |
| 1154682987 | Bakersfield Community Hospice, Inc. | Home Health | 3400 Calloway Drive, Suite #100, Bakersfield, CA 93312 | 2012-06-07 |
| Find all providers in zip 93312 | ||||
| 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] |
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| 1669936183 | New Leaf Pharmacy Inc | Pharmacy | 2303 S Union Ave Unit E8, Bakersfield, CA 93307 | 2019-01-29 |
| 1376054411 | New Leaf Pharmacy Inc | Pharmacy | 4433 Ming Ave, Bakersfield, CA 93309-4817 | 2017-10-16 |
| 1972030732 | Optimal Health Pharmacy | Pharmacy | 700 Airport Dr, Unit C, Bakersfield, CA 93308-4130 | 2017-05-11 |
| 1508300765 | Physicians' Plaza Pharmacy, Inc. | Pharmacy | 5000 Physicians Blvd Ste 201, Bakersfield, CA 93301-5836 | 2016-12-07 |
| 1568859932 | Carepharm Pharmacy | Pharmacy | 4700 Panama Ln Unit 116, Bakersfield, CA 93313 | 2015-04-23 |
| 1740687029 | Rxbiz Pharmacy Inc | Pharmacy | 2528 Chester Ave, Bakersfield, CA 93301-2013 | 2014-12-02 |
| 1295089175 | Sri Raj Inc. | Pharmacy | 3409 Calloway Dr Unit 602, Bakersfield, CA 93312-2534 | 2012-10-31 |
| 1811256548 | Zoha's Pharmacy | Pharmacy | 5458 California Avenue, Bakersfield, CA 93309 | 2012-05-15 |
| 1376874867 | Walmart Inc. | Pharmacy | 5075 Gosford Rd, Bakersfield, CA 93313-4993 | 2010-01-22 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93312 |
Please comment or provide details below to improve the information on POKEY BONES LLC.
| 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.