NPIMap

Individual provider Active NPI

Daksha Potnis

  • Pharmacist
  • Albuquerque, NM
National Provider Identifier
1902203185
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-16442 Issued in KS
Practice address
1501 San Pedro Dr SE
Apt 2071
Albuquerque, NM 87108-5153
Phone
(913) 484-5123
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-16442 KS Primary

Addresses

Primary practice location

1501 San Pedro Dr SE
Apt 2071
Albuquerque, NM 87108-5153

Mailing address

1801 Gibson Blvd SE
Apt 2071
Albuquerque, NM 87106-3348
Phone (913) 484-5123

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

State licenses

LicenseStateTypeSpecialty
1-16442KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Joseph MD PC Current Accepting new patients
Park Hill Health Services of New Jersey PC Current Accepting new patients
Park Hill Health Services PA Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1902203185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GIBSON BLVD SE",
            "address_2": "APT 2071",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871063348",
            "telephone_number": "913-484-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE",
            "address_2": "APT 2071",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "913-484-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTNIS",
        "first_name": "DAKSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-16442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.