Active NPI
Kingsley Lim
- Pharmacist
- Daly City, CA
National Provider Identifier
1154919652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83814
- Practice address
- 6100 Mission St
Daly City, CA 94014-2001 - Phone
- (650) 992-3900
- NPI assigned
- Jan 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 83814 | CA | Primary |
Addresses
Primary practice location
6100 Mission St
Daly City, CA 94014-2001
Mailing address
22 San Pedro Rd
Daly City, CA 94014-2528
Phone (650) 756-3412
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 |
|---|---|---|---|
| 83814 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pharmacy
- Daly City, CA
- NPI 1598771156
-
- Pharmacy
- Daly City, CA
- NPI 1871508101
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672358400000",
"number": "1154919652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SAN PEDRO RD",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940142528",
"telephone_number": "650-756-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 MISSION ST",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940142001",
"telephone_number": "650-992-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "KINGSLEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-09",
"last_updated": "2022-12-30",
"certification_date": "2022-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.