COVENANT PRIMARY CARE
NPI 1467704890
Non-Pharmacy Dispensing Site in Saint Joseph, MO

Q: What is Fred E. Potts, IV, MD, LLC's NPI number?

The NPI number for Fred E. Potts, IV, MD, LLC is 1467704890. It was assigned to this organization in the NPPES registry on October 9, 2012. The provider is doing business as Covenant Primary Care.

Q: What is Fred E. Potts, IV, MD, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since October 09, 2012

4906 FREDERICK AVE, SAINT JOSEPH, MO 64506(816) 233-3700 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Covenant Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT PRIMARY CARE (NPI 1467704890) is a healthcare organization registered as a non-pharmacy dispensing site in Saint Joseph, Missouri and active in the NPI registry since October 2012. The organization lists Fred E. Potts, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1467704890

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameFRED E. POTTS, IV, MD, LLC

Location Address4906 FREDERICK AVESaint Joseph, MO 64506-3246

Mailing Address2980 N Beverly Glen Cir, Suite 301Los Angeles, CA 90077-1726 · (310) 474-9809

Phone(816) 233-3700

Organization SubpartYes

Authorized OfficialFred E. PottsMedical Director · (816) 233-3700

Enumeration DateOctober 9, 2012

✔ NPI 1467704890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

4906 FREDERICK AVE, Saint Joseph, MO 64506

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Other Names 1

Doing Business AsCovenant Primary Care

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMEER GUPTA MD

Phlebology

4906 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 396-0245

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred E. Potts, IV, MD, LLC's NPI number?

The NPI number for Fred E. Potts, IV, MD, LLC is 1467704890. It was assigned to this organization in the NPPES registry on October 9, 2012. The provider is doing business as Covenant Primary Care.

Where is Fred E. Potts, IV, MD, LLC located?

Fred E. Potts, IV, MD, LLC is located at 4906 Frederick Ave, Saint Joseph, MO 64506. The listed phone number is (816) 233-3700.

What is Fred E. Potts, IV, MD, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Fred E. Potts, IV, MD, LLC was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.