Tom E. Potts, PHARM.D,

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH0009553 Issued in OR

Practice address

455 N Columbia St
Milton Freewater, OR 97862-1370

Phone

(541) 938-3289

Fax

(541) 938-5357

NPI assigned

Oct 28, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Safeway Inc

  • Community/Retail Pharmacy
  • Milton Freewater, OR
  • NPI 1851320899
  NPD (past)
• Safeway Inc

  • Community/Retail Pharmacy
  • Queen Creek, AZ
  • NPI 1730040973
  NPD (past)

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1225338833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N COLUMBIA ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621370",
            "telephone_number": "541-938-3289",
            "fax_number": "541-938-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N COLUMBIA ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621370",
            "telephone_number": "541-938-3289",
            "fax_number": "541-938-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "TOM",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "PHARM.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0009553",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH0009553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milton Freewater SNF Operations, LLC
• Andrei Vladimirovich Mitsourov, LMP
• Reyna Mercedes Navarrete, CADC
• Karen Linda Nazaroff, C.O.T.A./L
• Northwest Hearing Consultants
• Meghan Rambo
• Johanna Reeves, RN
• David Roberts, DDS
• Molly Rodriguez
• Chastity Venesa Rutherford, CRM

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.