Active NPI
Catherine J Potak, PHARMD
- Pharmacist
- Easthampton, MA
National Provider Identifier
1104221472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH235120
- Practice address
- 18 Sandra Rd
Easthampton, MA 01027-2514 - Phone
- (413) 218-6090
- NPI assigned
- Oct 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH235120 | MA | Primary |
| Pharmacist | 183500000X | NH3836 | NH |
Addresses
Primary practice location
18 Sandra Rd
Easthampton, MA 01027-2514
Mailing address
18 Sandra Rd
Easthampton, MA 01027-2514
Phone (413) 218-6090
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH235120 | MA | MD | Pharmacist |
| NH3836 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1104221472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 SANDRA RD",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010272514",
"telephone_number": "413-218-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 SANDRA RD",
"city": "EASTHAMPTON",
"state": "MA",
"postal_code": "010272514",
"telephone_number": "413-218-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTAK",
"first_name": "CATHERINE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-29",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH235120",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "NH3836",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easthampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.