JACOB POTTS (NPI# 1902429376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902429376 |
| Entity Type | Individual |
| Full Name | JACOB POTTS |
| Credential | PHARM.D. |
| Practice Address |
4037 Durham Chapel Hill Blvd Durham NC 27707-2516 |
| Mailing Address |
1 Cvs Dr Woonsocket RI 02895-6146 |
| Practice Telephone | 9197650009 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 29373 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558708719 | Jacob Potts | Acupuncturist | 5134 Saratoga Ave Apt 6, San Diego, CA 92107-2870 | 2013-05-29 |
| Street Address |
4037 DURHAM CHAPEL HILL BLVD |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811954969 | Nykedtra Martin Brown | Nurse Practitioner | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2006-05-01 |
| 1679188965 | Jessica Joelle Mckoy | Pharmacist | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2020-09-13 |
| 1023622172 | David Song | Pharmacist | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2020-09-06 |
| 1851903280 | Cindrella Gomes | Pharmacist | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2020-08-18 |
| 1700403573 | Nathan Anthony White | Pharmacist | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2020-06-28 |
| 1831589399 | Dana Brice | Pharmacy Technician | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2015-02-04 |
| 1770973380 | Kathryn Crim | Technician, Other | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2015-02-03 |
| 1124418744 | Jamie Hardy | Pharmacy Technician | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2015-02-03 |
| 1750771374 | Bernell Cotton | Pharmacy Technician | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2015-02-03 |
| 1184029456 | Carolina Eye Clinic Pllc | Optometrist | 4037 Durham Chapel Hill Blvd, Durham, NC 27707-2516 | 2014-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1518566066 | Amitkumar Prahaladbhai Patel | Pharmacist | 5450 New Hope Commons Dr # 2137, Durham, NC 27707-9716 | 2020-10-25 |
| 1073127445 | Yanying Yang | Pharmacist | 506 Turmeric Ln, Durham, NC 27713-3137 | 2020-09-03 |
| 1255986550 | Sharmeen Ali | Pharmacist | 1109 Hwy 54, Durham, NC 27703-2770 | 2019-08-05 |
| 1972023174 | Mary Elizabeth Durham | Pharmacist | 14221 Duke Clinic, Durham, NC 27710-0001 | 2017-06-20 |
| 1003348301 | Nirali Patel | Pharmacist | 1313 Catch Fly Ln, Durham, NC 27713-2553 | 2017-03-28 |
| 1518410927 | Charles William Hachmeister IIi | Pharmacist | 300 Blackwell St Apt 304, Durham, NC 27701-3991 | 2016-08-02 |
| 1720531544 | Brittany Ann Lawson | Pharmacist | 2816 Erwin Rd, Suite 105, Durham, NC 27705-4577 | 2016-07-28 |
| 1528411568 | Paul Wilkins Mccaskill | Pharmacist | 100 Glengary Ct Apt 201, Durham, NC 27707-5942 | 2016-07-14 |
| 1891144416 | Jordan R Wood | Pharmacist | 1700 E Nc Highway 54, Durham, NC 27713-2107 | 2016-06-04 |
| 1508234980 | Sara Britnell | Pharmacist | 2 Marsh Landing Ct, Durham, NC 27703-6717 | 2015-09-02 |
| Find all providers in DURHAM | ||||
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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.