Kim Potter, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH018682 Issued in GA

Practice address

131 W Taylor St
Griffin, GA 30223-3046

Phone

(770) 227-2428

Fax

(770) 227-3275

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bland Co Inc

  • Long Term Care Pharmacy
  • Griffin, GA
  • NPI 1952166555
  NPD (past)
• The Bland Co Inc

  • Community/Retail Pharmacy
  • Griffin, GA
  • NPI 1194807636

  Pharmacist

  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124100664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W TAYLOR ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302233046",
            "telephone_number": "770-227-2428",
            "fax_number": "770-227-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W TAYLOR ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302233046",
            "telephone_number": "770-227-2428",
            "fax_number": "770-227-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KIM",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH018682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC.",
            "identifier": "RPH018682",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plaza Consultants
• Pleasant Health Care LLC
• Eric Neil Plotnick, MD
• Alicia Adams Polk, RD
• Brenda Pope
• Megan Baldwin Potter, MD
• Sabrina Powell-Cobb, NP
• Chandana Prabhudev, M.D.
• Practical Therapy Solutions
• Deborah Prather, FNP-C

• All providers in Griffin, GA
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.