Active NPI
Amber Rae Lim, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1083166870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27445
- Practice address
- 11530 N Tryon St
Charlotte, NC 28262-0459 - Phone
- (980) 428-8134
- NPI assigned
- Oct 27, 2016
- Last updated
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0009928 | WV | |
| Pharmacist | 183500000X | 27445 | NC | Primary |
Addresses
Primary practice location
11530 N Tryon St
Charlotte, NC 28262-0459
Mailing address
6116 E Pea Ridge Rd
Apt 46
Huntington, WV 25705-2358
Phone (606) 422-6071
Other names 1
- Amber Rae Crum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27445 | NC | MD | Pharmacist |
| RP0009928 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1083166870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 E PEA RIDGE RD",
"address_2": "APT 46",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257052358",
"telephone_number": "606-422-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11530 N TRYON ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282620459",
"telephone_number": "980-428-8134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "AMBER",
"middle_name": "RAE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0009928",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "CRUM",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.