Individual provider Active NPI

Amanda Johnson Potter, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sevierville, TN
National Provider Identifier
1053619783
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
40741 Issued in TN
Practice address
702 Winfield Dunn Pkwy
Sevierville, TN 37876-5511
Phone
(865) 429-1451
Fax
(865) 429-3407
NPI assigned
Mar 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 40741 TN Primary
Pharmacist 183500000X 40741 TN
Pharmacist 183500000X 21594 NC

Addresses

Primary practice location

702 Winfield Dunn Pkwy
Sevierville, TN 37876-5511

Mailing address

702 Winfield Dunn Pkwy
Sevierville, TN 37876-5511
Phone (865) 429-1451

Other names 1

  • Miss Amanda Erin Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
21594NCMDPharmacist
40741TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1053619783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 WINFIELD DUNN PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378765511",
            "telephone_number": "865-429-1451",
            "fax_number": "865-429-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 WINFIELD DUNN PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378765511",
            "telephone_number": "865-429-1451",
            "fax_number": "865-429-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "AMANDA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TN",
            "license": "40741",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "40741",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "JOHNSON",
            "middle_name": "ERIN",
            "prefix": "MISS",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.