IndividualActive
Clark Botha, BPHARM, RPH
NPI 1639385404 · Pharmacist · Beaumont, CA
Clark Botha, BPHARM, RPH is a Pharmacist provider in Beaumont, CA (NPI 1639385404).
Provider details
- NPI number
- 1639385404
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- BPHARM, RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 58078 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
81 Highland Springs Ave Ste 90
Beaumont, CA 92223-3170
Phone: (951) 849-3378
Street-level locationGet directions
Mailing address
25590 Prospect Ave
Loma Linda, CA 92354-3141
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2019-12-27
- Certified
- 2019-12-27
Frequently asked questions
- What is Clark Botha's NPI number?
- Clark Botha's National Provider Identifier (NPI) is 1639385404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clark Botha's specialty?
- Clark Botha is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Clark Botha located?
- Clark Botha's practice location on file with NPPES is 81 Highland Springs Ave Ste 90, Beaumont, CA 92223-3170.
- What is Clark Botha's phone number?
- The practice phone number listed in the NPPES registry for Clark Botha is (951) 849-3378.
- Is Clark Botha's NPI active?
- Yes — Clark Botha's NPI (1639385404) is active in the NPPES registry as of the last update on 2019-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.