Potts Family LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

POTTS FAMILY LLC

Doing business as

Potts Family Pharmacy

Practice address

709 W Main St Ste a
Fairfield, IL 62837-2312

Phone

(618) 919-4009

Fax

(618) 516-8988

NPI assigned

Apr 21, 2022

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Dean Potts, PHARMD.NPI 1407485915

Title

Owner

Phone

(618) 919-4009

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Potts Family Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Dean Potts, PHARMD

  • Pharmacist
  • Fairfield, IL
  • NPI 1407485915
  NPD Authorized official

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1316681745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST STE A",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372312",
            "telephone_number": "618-919-4009",
            "fax_number": "618-516-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST STE A",
            "city": "FAIRFIELD",
            "state": "IL",
            "postal_code": "628372312",
            "telephone_number": "618-919-4009",
            "fax_number": "618-516-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTS FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-919-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "054022158",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILBOP CS",
            "identifier": "320013673",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potts Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Potts Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul B Stauder
• Penny Attaway (Medical Services Unlimited)
• Irina Podolsky
• Priscilla Poore
• Joan A Potter, CRNA
• Edwin Ray Potts, RPH
• Stephen Dean Potts, PHARMD
• Deseree Daun Price
• Stacey L. Puntney, LPN
• Kathryn Marie Rawls, M.A., LCPC

• Community/Retail Pharmacy in Fairfield, IL
• Providers in Fairfield, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.