Brookhurst Drug Inc Terry Bottorff Pres

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PHY34032 Issued in CA

Legal business name

BROOKHURST DRUG INC TERRY BOTTORFF PRES

Doing business as

The Druggist #3

Practice address

21421 Brookhurst St
Huntington Beach, CA 92646-7354

Phone

(714) 963-4552

Fax

(714) 963-1705

NPI assigned

Jun 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Terry M Bottorff, RPH

Title

President

Phone

(714) 963-5512

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Druggist #3 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Martin, PHARM D

  • Pharmacist
  • Yorba Linda, CA
  • NPI 1629528708
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1063457638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21421 BROOKHURST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467354",
            "telephone_number": "714-963-4552",
            "fax_number": "714-963-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21421 BROOKHURST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467354",
            "telephone_number": "714-963-4552",
            "fax_number": "714-963-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHURST DRUG INC TERRY BOTTORFF PRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "BOTTORFF",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-963-5512",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY34032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA169070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Druggist #3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Broedner, LMFT
• Robert Donald Bronner
• Lea Bronnimann
• Bronson W Hamada O D a Professional Corp (Surf City Optometry)
• Robel Brook
• Brown Physical Therapy, Inc
• Christina R Brown, P.T.
• Gina Brown, PT
• Hayley Brown
• Heidi Brown

• Durable Medical Equipment & Medical Supplies in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.