Jobath Enterprises, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201001578 Issued in VA

Legal business name

JOBATH ENTERPRISES, INC

Doing business as

Haysi Drug Center

Practice address

23906 Dickenson Highway
Haysi, VA 24256-0515

Phone

(276) 865-5135

Fax

(276) 865-5006

NPI assigned

Oct 31, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel C Thornbury, R.PH.

Title

VP/Cfo

Phone

(276) 935-4777

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Haysi Drug Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

CLIA laboratory certificates

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.

• Alexandria Victoria Stanley, PHARMD

  • Pharmacist
  • Haysi, VA
  • NPI 1275119034
  NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083790976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "HAYSI",
            "state": "VA",
            "postal_code": "242560515",
            "telephone_number": "276-865-5135",
            "fax_number": "276-865-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23906 DICKENSON HIGHWAY",
            "city": "HAYSI",
            "state": "VA",
            "postal_code": "242560515",
            "telephone_number": "276-865-5135",
            "fax_number": "276-865-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOBATH ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "THORNBURY",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "276-935-4777",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": "0478730001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "009138714",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201001578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008511829",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009138714",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4806658",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC #",
            "identifier": "0201001578",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haysi Drug Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haysi Drug Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridge Building Youth and Family (Vessels of Honor)
• Trista Marie Buchanan, M.ED., LPC
• Ervin Counts, PHARMACIST
• Haysi Rescue Squad, Inc.
• Tessa Rae Hill
• William J McIntyre, MD
• Mountain Medical Supply Inc
• Mellisa Nichole Owens, COTA
• Sarah Jane Perrigan-Swiney, LPC
• Russell Fork Pharmacies, Inc. (Jones & Counts Pharmacy)

• Community/Retail Pharmacy in Haysi, VA
• Providers in Haysi, VA by specialty
• Community/Retail Pharmacy in Virginia

• 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.
• 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.