Active NPI
Breanna Laine Potter, PHARMD
- Pharmacist
- Sulphur, LA
National Provider Identifier
1568943587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18848
- Practice address
- 1508 Beglis Pkwy
Sulphur, LA 70663-5606 - Phone
- (337) 625-2660
- NPI assigned
- Aug 27, 2018
- Last updated
- Apr 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 57923 | TX | MD | Social Worker |
| 226768 | AK | MD | Pharmacist |
| 18848 | AL | MD | Pharmacist |
| 1-123712 | KS | MD | Pharmacist |
| PST.22481 | LA | MD | Pharmacist |
| 5302416426 | MI | MD | Pharmacist |
| 20760 | OK | MD | Pharmacist |
| 0020208 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genefic Specialty RX Inc. | Current | 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.
-
dba Genefic Specialty Pharmacy
- Community/Retail Pharmacy
- Florence, AL
- NPI 1073870994
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
- Maureen Adrian Poe, APRN
- James Eugene Pollard, M.D., D.D.S.
- Alexandra Porter
- Possibilities Counseling Services Foundation
- Possibilities Counseling Services LLC
- Courtney Pressley, CSWD-C
- Private Healthcare Facilities
- Professional Counseling Specialties Inc
- Psychotherapy Clinic LLC
- David Wayne Qualls, P.T.
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.