Jack C Potter , RPH
Pharmacist • Othello, WA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jack Potter has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Jack Potter, RPH was a registered Pharmacist practicing in Othello, WA. Throughout an active medical career spanning 12 years, Jack Potter provided care at the practice location at 140 E MAIN ST until profile deactivation on 2018-10-22.
Practice Location & Contact Primary Location
140 E Main St
Othello, WA 99344
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Othello, WA
Practicing in Othello, WA (7956 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Doctor of Dental Surgery
Dental Hygienist
Registered Dental Hygienist
Dentist - General Practice
Doctor of Dental Surgery
Family Medicine
Doctor of Medicine (M.D.)
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 22, 2018
NPI status registered as active in NPPES database
Registered at 140 E MAIN ST, OTHELLO, WA 99344 (Tel: 5094885256)
Registered at 140 E MAIN ST, OTHELLO, WA 99344 (Tel: 5094885256)
Recorded as JACK POTTER, RPH
Pharmacist (License #PH00006488 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
140 E Main St
Othello, WA 99344
Phone: 5094885256
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