Active NPI
Rita Lyimo
- Pharmacist
- Princeton, WV
National Provider Identifier
1083908933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0007559
- Practice address
- 323 S Walker St
Princeton, WV 24740-2756 - Phone
- (304) 431-4967
- NPI assigned
- Jun 7, 2011
- Last updated
- Jun 7, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0007559 | WV | Primary |
Addresses
Primary practice location
323 S Walker St
Princeton, WV 24740-2756
Mailing address
2307 Athens Rd
Princeton, WV 24740-9050
Phone (515) 554-8262
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0007559 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307404800000",
"number": "1083908933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 ATHENS RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247409050",
"telephone_number": "515-554-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 S WALKER ST",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402756",
"telephone_number": "304-431-4967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYIMO",
"first_name": "RITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.