Active NPI
Melanie K Potter, RPH
- Pharmacist
- Manchester, NH
National Provider Identifier
1770865818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R1950
- Practice address
- 227 S Main St
Manchester, NH 03102-4838 - Phone
- (603) 666-8538
- NPI assigned
- Sep 14, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R1950 | NH | Primary |
| Pharmacist | 183500000X | PH24680 | MA | |
| Pharmacist | 183500000X | PS35351 | FL |
Addresses
Primary practice location
227 S Main St
Manchester, NH 03102-4838
Mailing address
4 Woburn Abbey Dr
Bedford, NH 03110-6234
Phone (603) 488-5307
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS35351 | FL | MD | Pharmacist |
| PH24680 | MA | MD | Pharmacist |
| R1950 | NH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Manchester, NH
- NPI 1366457343
-
- Pharmacy
- Brookhaven, PA
- NPI 1215942206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1770865818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WOBURN ABBEY DR",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106234",
"telephone_number": "603-488-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 S MAIN ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031024838",
"telephone_number": "603-666-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "MELANIE",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1950",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH24680",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS35351",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.