Individual provider Active NPI

Rohini D Potla

  • Pharmacist
  • Lathrup Village, MI
National Provider Identifier
1265125181
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5315152473 Issued in MI
Practice address
27241 Southfield Rd
Lathrup Village, MI 48076-3406
Phone
(248) 331-1112
Fax
(248) 331-1114
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5315152473 MI Primary

Addresses

Primary practice location

27241 Southfield Rd
Lathrup Village, MI 48076-3406

Mailing address

29919 Stanhurst Rd
Farmington Hills, MI 48331-1934
Phone (248) 320-7909

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

State licenses

LicenseStateTypeSpecialty
5315152473MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lathrup Apothecary Inc Current Accepting new patients

Locations

27241 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 331-1112

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1265125181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29919 STANHURST RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311934",
            "telephone_number": "248-320-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27241 SOUTHFIELD RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763406",
            "telephone_number": "248-331-1112",
            "fax_number": "248-331-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTLA",
        "first_name": "ROHINI",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315152473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.