Active NPI
Candice Turner Potter, PHARMD
- Pharmacist
- Kinston, NC
National Provider Identifier
1639799414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19048
- Practice address
- 701 Doctors Dr Ste P
Kinston, NC 28501-1584 - Phone
- (252) 523-3187
- Fax
- (252) 522-2988
- NPI assigned
- Apr 21, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19048 | NC | Primary |
Addresses
Primary practice location
701 Doctors Dr Ste P
Kinston, NC 28501-1584
Mailing address
701 Doctors Dr Ste P
Kinston, NC 28501-1584
Phone (252) 523-3187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NC | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | QS1 | Other |
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 |
|---|---|---|---|
| 19048 | NC | MD | Pharmacist |
Interoperability endpoints
- cjtpotter@kinstonpharmacy.libertysoftwaredirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1639799414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 DOCTORS DR STE P",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011584",
"telephone_number": "252-523-3187",
"fax_number": "252-522-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 DOCTORS DR STE P",
"city": "KINSTON",
"state": "NC",
"postal_code": "285011584",
"telephone_number": "252-523-3187",
"fax_number": "252-522-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "CANDICE",
"middle_name": "TURNER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "19048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "QS1",
"affiliation": "N",
"endpointDescription": "QS1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "QS1",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "QS1",
"address_1": "701 Doctors Dr Ste P",
"city": "Kinston",
"state": "NC",
"country_code": "US",
"postal_code": "285011584",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kinston, NC
- Pine Haven Home Health Care Services Inc
- Pine Haven Home Health Care Services Inc
- Pine Havenhome Health Care Services Inc.
- Vengamamba Polu, MB,BS
- Port Health Services
- Sarah Susanne Potter, PHARMD, RPH
- Shalia N Pounds
- Chassity Hill Powell, MS, RDN, LDN
- Precision Health Care Services
- Precision Health Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.