Clark Anthony Botha, BPHARM, RPH
NPI 1639385404ActiveIndividual· Pharmacist· Beaumont, CA
Pharmacist (BPHARM, RPH) in Beaumont, California, licensed in CA, with an NPI issued in May 2007.
Overview
| NPI | 1639385404 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BPHARM, RPH |
| Sole proprietor | No |
| NPI issued | May 16, 2007 |
| Last updated in NPPES | Dec 27, 2019 |
| Certified by provider | Dec 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 58078 | CA |
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 |
|---|
Other pharmacists in Beaumont
- 1013253814
- 1104269752
- 1194031914
- 1407013915
- 1689011256
- 1063384121
- 1164737771
- 1366843765
- 1972871390
- 1225578545
- 1437931813
- 1275911869
All 21 pharmacists in Beaumont · All pharmacists in California