Jacob Potts, PHARM.D.

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

700355 Issued in NC

Practice address

104 W Medical Park Dr
Lexington, NC 27292-6773

Phone

(336) 224-0931

NPI assigned

May 20, 2020

Last updated

Oct 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1902429376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REVOLUTION MILL DR STE 10",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MEDICAL PARK DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926773",
            "telephone_number": "336-224-0931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4446 US Highway 220 N Ste A",
            "address_purpose": "LOCATION",
            "city": "Summerfield",
            "state": "NC",
            "postal_code": "273589415",
            "country_code": "US",
            "telephone_number": "336-560-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "JACOB",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29373",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "NC",
            "license": "700355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angie T Pierce, SLP
• Amber Pope
• Jonathan Poplin, PT, DPT
• Positive Wellness Alliance
• Isabel Ann Dowty Potts, DPT
• Carol Frye Powell, OTR/L
• Maryann Power-Mininni, PT
• Michelle Kimball Powers, MS, CCC-SLP
• Tyler Robert Poznic
• Lora Jean Prentiss, MPT

• Ambulatory Care Pharmacist in Lexington, NC
• Providers in Lexington, NC by specialty
• Ambulatory Care Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.