KIM POTTER (NPI# 1124100664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124100664 |
| Entity Type | Individual |
| Full Name | KIM POTTER |
| Credential | RPH |
| Practice Address |
131 W Taylor St Griffin GA 30223-3046 |
| Practice Telephone | 7702272428 |
| Practice Fax Number | 7702273275 |
| Mailing Telephone | 7702272428 |
| Mailing Fax Number | 7702273275 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH018682 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LIC. | RPH018682 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992154496 | Kim Denise Potter | Licensed Practical Nurse | 19 Sundown Dr, Bellport, NY 11713-1133 | 2016-06-07 |
| Street Address |
131 W TAYLOR ST |
| City | GRIFFIN |
| State | GA |
| Zip Code | 30223-3046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194807636 | Tretop Drugs | Pharmacist | 131 W Taylor St, Griffin, GA 30223-3046 | 2006-10-20 |
| 1629150172 | Michelle Peeler | Pharmacist | 131 W Taylor St, Griffin, GA 30223-3046 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783036 | Jennifer Lashawn Stevenson | Registered Nurse | 1071 Highway 16 West, Griffin, GA 30223 | 2019-07-30 |
| 1992357644 | Nikki Petty | Behavior Technician | 185 Grady Street, Griffin, GA 30223 | 2019-07-12 |
| 1568940146 | Brenda Pope | Counselor | 1710 Highway 16 West, Griffin, GA 30223 | 2018-08-05 |
| 1073025151 | Vonita Clowers | Specialist | 1424 N. Expy, Suite 115, Griffin, GA 30223 | 2017-10-30 |
| 1912427592 | Sheena Murphy | Registered Nurse | 109 N. 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1033639612 | Taralyn Rae Sams | Registered Nurse | 109 North 10th Street, Griffin, GA 30223 | 2017-06-23 |
| 1326594656 | Wendell Robinson | Registered Nurse | 109 N.10th Street, Griffin, GA 30223 | 2016-08-28 |
| 1508235466 | Trenisha Jones Mccall | Counselor | 1815 North Expressway, Griffin, GA 30223 | 2015-09-22 |
| 1104224948 | Dawn Tyus | Counselor | 424 W. Taylor Street, Griffin, GA 30223 | 2014-12-10 |
| 1003173030 | Ingles Markets Inc | Pharmacy | 1735 Zebulon Rd, Griffin, GA 30223 | 2012-04-16 |
| Find all providers in zip 30223 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285933903 | Stephanie Marie Nemyer | Pharmacist | 1655 Zebulon Rd, Griffin, GA 30224-5155 | 2011-03-21 |
| 1194023507 | Joe C. Pittman | Pharmacist | 405 S Hill St, Griffin, GA 30224-4225 | 2011-03-09 |
| 1205094786 | Kevin Basil Marshall | Pharmacist | 1475 N Expressway, Griffin, GA 30223-1776 | 2008-05-30 |
| 1366650483 | Ronna Annette Moore | Pharmacist | 161 Heritage Lake Dr, Griffin, GA 30224-9530 | 2007-05-21 |
| 1700925260 | Lori H Harvey | Pharmacist | 682 Mclaurin St, Griffin, GA 30224-4313 | 2007-02-05 |
| 1134285471 | Neels Pharmacy Inc | Pharmacist | 330 E Solomon St, Griffin, GA 30223-3316 | 2006-12-29 |
| 1194807636 | Tretop Drugs | Pharmacist | 131 W Taylor St, Griffin, GA 30223-3046 | 2006-10-20 |
| 1740200997 | Wynns Pharmacy | Pharmacist | 566 South 8th Street, Griffin, GA 30224 | 2006-07-20 |
| 1639134083 | David E Clements Sr. | Pharmacist | Davids Drug & Surgical Shop, Griffin, GA 30224 | 2006-04-19 |
| 1730789587 | Phillip Chase Smith | Pharmacist | 1569 N Expressway, Griffin, GA 30223-1746 | 2020-10-30 |
| Find all providers in GRIFFIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.