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
- Last updated
- Dec 30, 2022
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.