Nora Somatra Lim, PHARMD

Individual provider Active NPI Pharmacist · Pine Ridge, SD

NPI 1144884271 · NPPES record last updated Apr 24, 2019

Key facts

NPI
1144884271
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
22454 (MD)
Practice address
E Hwy 18
Pine Ridge, SD 57770
Phone
(605) 867-3192
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
22454MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients
Pine Ridge Indian Health Service Hospital Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22454 MD Yes

Addresses

Primary practice location

E Hwy 18
Pine Ridge, SD 57770

Mailing address

PO Box 1201
Pine Ridge, SD 57770-1201
Phone (605) 867-5131

Other providers in Pine Ridge, SD

All providers in Pine Ridge, SD · Pharmacist in South Dakota

Sources for this page

Verify at the official NPI Registry.