Active NPI
William Ray Potts, D. PH.
- Pharmacist
- Tahlequah, OK
National Provider Identifier
1275695884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8329
- Practice address
- 1400 E Downing St
Tahlequah, OK 74464-3324 - Phone
- (918) 453-2355
- Fax
- (918) 453-2357
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8329 | OK | Primary |
Addresses
Primary practice location
1400 E Downing St
Tahlequah, OK 74464-3324
Mailing address
2664 Cambridge Circle
Tahlequah, OK 74464
Phone (918) 456-0716
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275695884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2664 CAMBRIDGE CIRCLE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "74464",
"telephone_number": "918-456-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E DOWNING ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643324",
"telephone_number": "918-453-2355",
"fax_number": "918-453-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTS",
"first_name": "WILLIAM",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D. PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- 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.