Active NPI
Anita Pothen, PHARMD
- Pharmacist
- Tampa, FL
National Provider Identifier
1629518022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23317
- Practice address
- 8735 Henderson Rd
Tampa, FL 33634-1143 - Phone
- (813) 290-6200
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23317 | MD | Primary |
| Pharmacist | 183500000X | PS52563 | FL |
Addresses
Primary practice location
8735 Henderson Rd
Tampa, FL 33634-1143
Mailing address
8735 Henderson Rd
Tampa, FL 33634-1143
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 |
|---|---|---|---|
| PS52563 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1629518022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8735 HENDERSON RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8735 HENDERSON RD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336341143",
"telephone_number": "813-290-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTHEN",
"first_name": "ANITA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "23317",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS52563",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.