Individual provider Active NPI

Julie S Lin

  • Pharmacist
  • Beachwood, OH
National Provider Identifier
1154913549
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03131821 Issued in OH
Practice address
23350 Mercantile Rd
Beachwood, OH 44122-5921
Phone
(216) 514-4944
NPI assigned
Feb 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03131821 OH Primary

Addresses

Primary practice location

23350 Mercantile Rd
Beachwood, OH 44122-5921

Mailing address

9450 Rockys CT
Broadview Heights, OH 44147-4054
Phone (440) 364-2124

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

LicenseStateTypeSpecialty
03131821OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Symbria RX Services Great Lakes-East, LLC CurrentSince Feb 14, 2021 Accepting new patients
Parkway Pharmacy Inc PastSince Feb 14, 2021 Accepting new patients

Locations

23350 Mercantile Rd
Beachwood, OH 44122
Phone (216) 514-4944

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.

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1154913549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 ROCKYS CT",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474054",
            "telephone_number": "440-364-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23350 MERCANTILE RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225921",
            "telephone_number": "216-514-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "JULIE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03131821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2021; 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.