Daniel Jacob Botzenhart, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

27066 Issued in NC

Practice address

102 Harper Ave NW
Lenoir, NC 28645-5057

Phone

(828) 754-2171

NPI assigned

Jul 14, 2017

Last updated

Jul 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1932621679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 16TH AVE SE STE 202",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139694",
            "telephone_number": "828-465-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HARPER AVE NW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455057",
            "telephone_number": "828-754-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTZENHART",
        "first_name": "DANIEL",
        "middle_name": "JACOB",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boone Drugs Inc (Medical Arts Pharmacy)
• Jamie Millicent Boone, FNP-C
• Alex Sergio Borrelli, MD
• Kevin A Borrelli, DPT
• Derek Edward Bost, PA-C
• Jeremie Daniel Bourget, DO
• John H Bowen, M.D.
• Susan S Bowen, MA,CCC-SLP
• Laura May Bowles
• Derek A Boyer, PA

• Pharmacist in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.