JESSICA MARIE POTHAST PHARMD
NPI 1912139668
Pharmacist in Cannon Afb, NM

Active since August 13, 2009
208 W CASABLANCA AVE, CANNON AFB, NM 88103(575) 784-4028 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Marie Pothast Pharmd NPPES

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

JESSICA MARIE POTHAST PHARMD (NPI 1912139668) is an individual pharmacist in Cannon Afb, New Mexico, licensed in Ohio (03129369) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1912139668
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJESSICA MARIE POTHASTCredential: PHARMD
Location Address208 W CASABLANCA AVECannon Afb, NM 88103-5009
Mailing Address208 W Casablanca AveCannon Afb, NM 88103-5009 · (575) 784-4028
Sole ProprietorNo
Enumeration DateAugust 13, 2009
Last NPPES UpdateJanuary 24, 2013
NPI 1912139668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OH · 03129369
Definition
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.
208 W CASABLANCA AVE, Cannon Afb, NM 88103

Other Providers at the Same Location NPPES 15

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

Nurse Practitioner (Family)
208 W CASABLANCA AVE, 27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM 88103
Military Health Care Provider (Independent Duty Medical Technicians)
208 W CASABLANCA AVE, 27 SOMDG
CANNON AFB, NM 88103
Physician Assistant
208 W CASABLANCA AVE, 100
CANNON AFB, NM 88103
Pharmacist
208 W CASABLANCA AVE
CANNON AFB, NM 88103
Military Health Care Provider (Independent Duty Medical Technicians)
208 W CASABLANCA AVE
CLOVIS, NM 88103
Clinic/Center (Military/U.S. Coast Guard Outpatient)
208 W CASABLANCA AVE, 27 MDSS SGSR
CANNON AFB, NM 88103
Military Health Care Provider (Independent Duty Medical Technicians)
208 W CASABLANCA AVE
CANNON AFB, NM 88103
Family Medicine
208 W CASABLANCA AVE
CANNON AFB, NM 88103

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 Jessica Pothast's NPI number?

The NPI number for Jessica Pothast is 1912139668. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Where is Jessica Pothast located?

Jessica Pothast practices at 208 W Casablanca Ave, Cannon Afb, NM 88103. The listed phone number is (575) 784-4028.

What is Jessica Pothast's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jessica Pothast was last updated on January 24, 2013. 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.