DR. MIA MICHELE POTTER (NPI# 1710144779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710144779 |
| Entity Type | Individual |
| Full Name | DR. MIA MICHELE POTTER |
| Credential | PHARMD |
| Practice Address |
129 North Main Street Wagener SC 29164 |
| Mailing Address |
3217 Camp Rawls Rd Wagener SC 29164-9628 |
| Practice Telephone | 8035645381 |
| Practice Fax Number | 8035645398 |
| Mailing Telephone | 8037301886 |
| Mailing Fax Number | 8035645007 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10888 | SC | Pharmacy Service Providers |
| Street Address |
129 NORTH MAIN STREET |
| City | WAGENER |
| State | SC |
| Zip Code | 29164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902317241 | Bela Family Dentistry of Wagener | Dentist | 112 Louie Street, Wagener, SC 29164 | 2017-10-13 |
| 1629463575 | H and M Healthcare | Durable Medical Equipment & Medical Supplies | 123 A Earl Street, Wagener, SC 29164 | 2015-03-30 |
| 1740602374 | Stephanie Grant | Registered Nurse | 20 A L Corbett Circle, Wagener, SC 29164 | 2014-01-16 |
| 1952738379 | Lexcaregivers LLC | In Home Supportive Care | 32 W Pine Circle, Wagener, SC 29164 | 2013-09-30 |
| 1255766986 | Virginia A Johnson | Health Educator | 32 W. Pine Circle, Wagener, SC 29164 | 2013-09-12 |
| 1811173602 | Carolina Cataract Clinic | Ophthalmology | 149 North Main Street, Wagener, SC 29164 | 2008-01-11 |
| 1689750572 | Julian Harrison Fair IIi | Dentist | Julian H. Fair 111,dmd,p.a., 112 Louie Street, 112 Louie Street, Wagener, SC 29164 | 2006-10-31 |
| 1124103536 | Rufus B. Antley, Od | Optometrist | 149 N. Main St, Wagener, SC 29164 | 2006-10-25 |
| 1093803934 | Clarence Williams Jr. | Dentist | 275 South Main Street, Wagener, SC 29164 | 2006-10-10 |
| 1952731531 | Jackson Chiropractic LLC | Chiropractor | 147 Main Street, Wagener, SC 29164 | 2013-11-19 |
| Find all providers in zip 29164 | ||||
| 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 |
|---|---|---|---|---|
| 1457462624 | Theresa Krafnick Dyches | Pharmacist | 129 North Main St, Wagener, SC 29164-0129 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083828 | David Ephriam Wilson V | Pharmacist | 4099 Red Bluff Rd, Loris, SC 29569-6238 | 2020-11-05 |
| 1609475458 | Douglas Hansford Netterville | Pharmacist | 248 Ivy Woods Ct, Fountain Inn, SC 29644-9256 | 2020-10-22 |
| 1497354385 | Caroline Gardner | Pharmacist | 1062 10th Ave, Aynor, SC 29511 | 2020-10-21 |
| 1972100246 | Meet Patel | Pharmacist | 210 Mcphail Farms Cir, Anderson, SC 29621-2579 | 2020-10-08 |
| 1780281170 | Hannah L Russell | Pharmacist | 2954 Eppington South Dr, Fort Mill, SC 29708-6949 | 2020-10-08 |
| 1235736133 | Renisha Rabara | Pharmacist | 2742 Disney Pl, Indian Land, SC 29707-5957 | 2020-10-04 |
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1003423377 | Terri Donofrio | Pharmacist | 5678 Captain Kidd Rd, Hollywood, SC 29449-6801 | 2020-09-30 |
| 1194331280 | Bryan Sabo | Pharmacist | 4361 Sc-24, Anderson, SC 29626 | 2020-09-23 |
| 1770198798 | Donnie Eric Ridings | Pharmacist | 471 Waterford Point Dr, Boiling Springs, SC 29316-7721 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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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.