Individual provider Active NPI

Breanna Laine Potter, PHARMD

  • Pharmacist
  • Sulphur, LA
National Provider Identifier
1568943587
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18848 Issued in AL
Practice address
1508 Beglis Pkwy
Sulphur, LA 70663-5606
Phone
(337) 625-2660
NPI assigned
Aug 27, 2018
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.22481 LA
Pharmacist 183500000X 57923 TX
Pharmacist 183500000X 226768 AK
Pharmacist 183500000X 5302416426 MI
Pharmacist 183500000X 0020208 OR
Pharmacist 183500000X 1-123712 KS
Pharmacist 183500000X 20760 OK
Pharmacist 183500000X 24412 NV
Pharmacist 183500000X 18848 AL Primary

Addresses

Primary practice location

1508 Beglis Pkwy
Sulphur, LA 70663-5606

Mailing address

2577 Mall Rd Ste B
Florence, AL 35630-1684
Phone (256) 246-2433

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
57923TXMDSocial Worker
226768AKMDPharmacist
18848ALMDPharmacist
1-123712KSMDPharmacist
PST.22481LAMDPharmacist
5302416426MIMDPharmacist
20760OKMDPharmacist
0020208ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genefic Specialty RX Inc. CurrentSince Apr 20, 2025 Accepting new patients
Louisiana CVS Pharmacy LLC Past Accepting new patients
Louisiana CVS Pharmacy, L.L.C. Past Accepting new patients

Locations

2577 Mall Rd
Ste B
Florence, AL 35630
Phone (833) 928-7660

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1568943587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 MALL RD STE B",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301684",
            "telephone_number": "256-246-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635606",
            "telephone_number": "337-625-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "BREANNA",
        "middle_name": "LAINE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.22481",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "57923",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "226768",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302416426",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0020208",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-123712",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "20760",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "24412",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "18848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.