Fred E. Potts, IV, MD, LLC
NPI 1467704890ActiveOrganization· Non-Pharmacy Dispensing Site· Saint Joseph, MO
Non-Pharmacy Dispensing Site in Saint Joseph, Missouri, registered in NPPES in October 2012, part of Fred E. Potts, IV, MD, LLC. The authorized official on file is Fred E. Potts, MD, Medical Director.
Overview
| NPI | 1467704890 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fred E. Potts, IV, MD, LLC |
| NPI issued | Oct 9, 2012 |
| Last updated in NPPES | Oct 9, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|