George Frederick Bothma

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302036700 Issued in MI

Practice address

100 Covered VLG
Belding, MI 48809-1683

Phone

(616) 794-2200

NPI assigned

May 6, 2009

Last updated

May 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 01470

  • Community/Retail Pharmacy
  • Belding, MI
  • NPI 1043329576
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1689808537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11073 STREAMSIDE DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418604",
            "telephone_number": "616-866-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COVERED VLG",
            "city": "BELDING",
            "state": "MI",
            "postal_code": "488091683",
            "telephone_number": "616-794-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTHMA",
        "first_name": "GEORGE",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302036700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Caleb Bergen, DC
• Ilse Michelle Bogard, PT,DPT
• Benjamin Roy Bookie, M.A.
• Taylora Bookie
• Olivia Rose Borchers, PA-C
• Wendy Leigh Bouwens, OTR/L
• Braintree Management, Inc.
• McKenzie Brouwer
• Carrie Lynn Bucholtz, MA LPC
• Cheri Lorraine Bull-Huerta, R.PH.

• Pharmacist in Belding, MI
• Providers in Belding, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.