Pokey Bones LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47454 Issued in CA

Legal business name

POKEY BONES LLC

Practice address

3400 Calloway Dr
Ste 701
Bakersfield, CA 93312-2513

Phone

(661) 410-7979

Fax

(661) 410-7980

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Faast, PHARMD

Title

Owner

Phone

(661) 410-7979

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• FAAST PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1477590834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR",
            "address_2": "STE 701",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122513",
            "telephone_number": "661-410-7979",
            "fax_number": "661-410-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALLOWAY DR",
            "address_2": "STE 701",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122513",
            "telephone_number": "661-410-7979",
            "fax_number": "661-410-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKEY BONES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "FAAST",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-410-7979",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47454",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY474540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5618181",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAAST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jugraj Singh Pnag
• Terry Poarch
• Tian Sian Poh, DDS
• Riley Lynn Pohl
• Pointe at Bakersfield LLC
• Suneena Pokkamthanam, PA-C
• Lynnette Naomi Pola
• Benjamin Matthew Polanco
• Christian Jesus Polanco
• Anthony Alan Poles, MD

• Community/Retail Pharmacy in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.