Katie Lynette Potoczniak, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

042088 Issued in NY

Practice address

1770 Colvin Blvd
Buffalo, NY 14223-1166

Phone

(716) 876-2323

Fax

(716) 876-1349

NPI assigned

Feb 6, 2010

Last updated

Sep 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Katie Lynette Randall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1790017309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 COLVIN BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231166",
            "telephone_number": "716-876-2323",
            "fax_number": "716-876-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 COLVIN BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231166",
            "telephone_number": "716-876-2323",
            "fax_number": "716-876-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTOCZNIAK",
        "first_name": "KATIE",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-06",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "RANDALL",
            "middle_name": "LYNETTE",
            "prefix": "MISS",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Christine Poser
• Lori Posluszny, OTR
• Alan R Posner, MD
• Amy L Posses, RPH
• Scott Thomas Postma, DPM
• Erin Elizabeth Potter, PA-C
• Helen Potter, MD
• Kevin Potter
• Rachelle Lynn Potter, RN
• Miquita Janae Potts

• Pharmacist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.