Bat Jac of South Carolina

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552366 Issued in WV

Legal business name

BAT JAC OF SOUTH CAROLINA

Doing business as

Pocahontas Pharmacy

Practice address

105 Duncan Rd
Ste C
Marlinton, WV 24954

Phone

(304) 799-4944

Fax

(304) 799-4995

NPI assigned

Mar 10, 2008

Last updated

Jun 24, 2016By 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

Timothy Robbins, RPH

Title

President

Phone

(304) 364-5636

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• POCAHONTAS PHARMACY Doing business as

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1598935140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "249540148",
            "telephone_number": "304-799-4944",
            "fax_number": "304-799-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 DUNCAN RD",
            "address_2": "STE C",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "24954",
            "telephone_number": "304-799-4944",
            "fax_number": "304-799-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAT JAC OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-364-5636",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111733",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011534",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POCAHONTAS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Adkison
• Tammie Lynn Alderman, BA
• Gypsy Atkins
• Sherrie Ellen Balser
• Stacy Kayla Barr
• Keith Bennett
• Melissa Bennett
• Sarita L Bennett, DO
• Monica A Bing, RN
• Crystal Blankenship

• Community/Retail Pharmacy in Marlinton, WV
• Providers in Marlinton, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.