BETSY JO POTTEIGER (NPI# 1699002972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699002972 |
| Entity Type | Individual |
| Full Name | BETSY JO POTTEIGER |
| Credential | PHARMD BCACP BCGP |
| Practice Address |
3269 Maricopa Ave Ste 120 Lake Havasu City AZ 86406-5788 |
| Practice Telephone | 9288549551 |
| Practice Fax Number | 9288549553 |
| Mailing Telephone | 9288549551 |
| Mailing Fax Number | 9288549553 |
| Enumeration Date | 2009-11-07 |
| Last Update Date | 2017-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
RP037060L | PA | Pharmacy Service Providers |
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
S015912 | AZ | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
RP037060L | PA | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
S015912 | AZ | Pharmacy Service Providers |
| Street Address |
3269 MARICOPA AVE STE 120 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86406-5788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497924070 | James Richard Fisher | Durable Medical Equipment & Medical Supplies | 2540 Viejo Dr, Lake Havasu City, AZ 86406 | 2008-02-27 |
| 1265657969 | Eugene Vitvitsky Md | Surgery | 2046 Burke Lane, Lake Havasu City, AZ 86406 | 2007-04-16 |
| 1659497105 | Assisted Living Concepts Inc | Assisted Living Facility | 3076 Shoshone Drive, Lake Havasu, AZ 86406 | 2007-03-22 |
| 1164546750 | Charles Reese Mead | Dentist | 101 Riveria Dr, Lake Havasu, AZ 86406 | 2007-03-19 |
| 1427172550 | Jesdeen Lynn Nunez | Registered Nurse | 12033 Agency Road, Parker, AZ 86406 | 2007-03-16 |
| 1285797993 | Karen Ann Powell | Podiatrist | Oro Grande Elementary 1250 Pawnee Drive, Lake Havasu City, AZ 86406 | 2006-12-18 |
| 1215978606 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2800 Sweetwater Ave, Lake Havasu City, AZ 86406 | 2006-06-09 |
| 1467519512 | Catherine Evelyn Sondrol | Occupational Therapist | 3588 Tarpon Dr, Lake Havasu City, AZ 86406-4223 | 2007-01-01 |
| 1346477593 | Steven Bertovich | Registered Nurse | 3499 Tarpon Dr, Lake Havasu City, AZ 86406-4246 | 2009-06-15 |
| 1093975310 | Serenity Assisted Living | Assisted Living Facility | 3677 Blue Colt Dr, Lake Havasu City, AZ 86406-4273 | 2008-06-10 |
| Find all providers in zip 86406 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184959397 | Jasmine Chantel Chase | Pharmacist | 185 W Apache Trl, Apache Junction, AZ 85120-3433 | 2009-10-05 |
| 1922241074 | Biljana Mitanoski | Pharmacist | 15934 W Post Dr, Surprise, AZ 85374-5713 | 2009-04-18 |
| 1336319193 | Max W Allen | Pharmacist | 19823 N 95th Ave, Peoria, AZ 85382-4157 | 2008-03-08 |
| 1689884363 | Elyse Reed | Pharmacist | 1001 E Acoma Dr, Phoenix, AZ 85022-4323 | 2007-05-23 |
| 1881760635 | Richard Lee Connors | Pharmacist | 308 Camino Josefina, Rio Rico, AZ 85648 | 2006-11-24 |
| 1235212341 | Martin Dennis Higbee | Pharmacist | 3610 S 6 Th Ave, Tucson, AZ 85723-0001 | 2006-10-23 |
| 1275173452 | Zafer Liberty Genc | Pharmacist | 100 W Riverside Dr, Parker, AZ 85344-5205 | 2020-01-15 |
| 1043789266 | Ginger Reilly Rinner | Pharmacist | 4040 N Oracle Rd, Tucson, AZ 85705-2720 | 2018-11-16 |
| 1750837852 | Cvs | Pharmacist | 5835 W Indian School Rd, Phoenix, AZ 85031-2420 | 2016-08-29 |
| 1730540535 | Steven Kaufer | Pharmacist | 8826 N 23rd Ave, C 2, Phoenix, AZ 85021-4154 | 2016-03-08 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86406 |
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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.