Edwin Ray Potts is a Pharmacist in Fairfield, Illinois. Edwin Ray Potts practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Edwin Ray Potts is 1396794954. The last update date is 2008-07-16.
Edwin Ray Potts's current location address is 1116 W Main St, Fairfield, Illinois. You can contact this provider via phone number 6188426007 and fax number 6188424816. The mailing address for Edwin Ray Potts is 1116 W Main St, Fairfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin Ray Potts |
|---|---|
| Address | 1116 W Main St, Fairfield, Illinois |
| Phone Number | 6188426007 |
| Fax Number | 6188424816 |
| Sole Proprietor | N |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1396794954 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 1116 W Main St |
|---|---|
| City | Fairfield |
| State | Illinois (IL) |
| Post Code | 628372324 |
| Phone Number | 6188426007 |
| Fax Number | 6188424816 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 332B00000X |
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Definition: 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 m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 371200692001 | IL | -- | |
| 9632011 | IL | BLUE CROSS BLUE SHIELD | |
| 1453531 | IL | NABP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Edwin Ray Potts by the Centers for Medicare & Medicaid Services?
The Edwin Ray Potts has been assigned the NPI (National Provider Identifier) 1396794954 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Edwin Ray Potts is physically located?
The Edwin Ray Potts is physically situated at the following address: 1116 W Main St, Fairfield, IL, 628372324.
What is the Edwin Ray Potts's area of specialization and corresponding taxonomy classification?
The Edwin Ray Potts's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1396794954 to Edwin Ray Potts?
The Centers for Medicare & Medicaid Services assigned the 1396794954 to Edwin Ray Potts on 2006-05-09.
As of what date was the information regarding Edwin Ray Potts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edwin Ray Potts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-16.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY