Potomac Pharmacy and Medical Supply

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

POTOMAC PHARMACY AND MEDICAL SUPPLY

Practice address

13590 E Mississippi Ave
Aurora, CO 80012-3588

Phone

(720) 237-9967

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Martha Mejia

Title

Owner

Phone

(720) 237-9967

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1609317700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123588",
            "telephone_number": "720-237-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590 E MISSISSIPPI AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123588",
            "telephone_number": "720-237-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC PHARMACY AND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-237-9967"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Poston, OTR/L
• Sarah Elizabeth Poteat, PNP
• Ann Poteet, AGNP-C
• Shravya Reddy Pothula
• Valeria L Potigailo, MD
• Potomac Square Family Medicine, LLC
• Aimee K Potter, LCSW
• Brad Potter, D.D.S.
• Ellis Brian Potter, PH.D.
• Heather Potter

• Community/Retail Pharmacy in Aurora, CO
• Providers in Aurora, CO by specialty
• Community/Retail Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.