Great Potter Corp

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

GREAT POTTER CORP

Practice address

82013 Dr Carreon Blvd Ste I
Indio, CA 92201-5832

Phone

(442) 215-5785

Fax

(442) 215-5870

NPI assigned

Aug 10, 2026

Organization subpart

No

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

Authorized official

Name

Jacky Kamel

Title

Ceo

Phone

(760) 880-7546

Specialties & licenses 4

Addresses

Other names 1

• Soul and Body Pharmacy Doing business as

Tax ID family

Great Potter Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Great Potter Corp

  • Pharmacy
  • Indio, CA
  • NPI 1518728195
  NPD tax ID

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1164346375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD STE I",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82013 DR CARREON BLVD STE I",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015832",
            "telephone_number": "442-215-5785",
            "fax_number": "442-215-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT POTTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "KAMEL",
        "authorized_official_first_name": "JACKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-880-7546"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul and Body Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• America Granados, LVN
• Stephanie Renee Granatell, CMPSS
• Michelle Granillo, LMFT
• Gary Eugene Graves, ASSOCIATE CLINICAL S
• Brian Christopher Gray
• Great Potter Corp
• Aki Rei Greco
• Brian Neal Greenleaf, CADC II
• Mitchell Greenwald, ASW
• Stuart Alden Greenwood, D.C.

• Home Infusion Agency in Indio, CA
• Providers in Indio, CA by specialty
• Home Infusion Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.