Lima Village Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034536 Issued in NY

Legal business name

LIMA VILLAGE PHARMACY LLC

Doing business as

Lima Village Pharmacy

Practice address

7298 W Main St
Lima, NY 14485-9473

Phone

(585) 624-9777

Fax

(585) 624-5677

NPI assigned

Mar 31, 2016

Last updated

Dec 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin GooldNPI 1942252614

Title

Supervising Pharmacist

Phone

(585) 624-9777

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lima Village Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Longhouse Goold, RPH

  • Pharmacist
  • Lima, NY
  • NPI 1942252614
  NPD Authorized official
• John B Tompkins, RPH

  • Pharmacist
  • Mendon, NY
  • NPI 1679770127
  NPD

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1205299948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "LIMA",
            "state": "NY",
            "postal_code": "144850654",
            "telephone_number": "585-624-9777",
            "fax_number": "585-624-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7298 W MAIN ST",
            "city": "LIMA",
            "state": "NY",
            "postal_code": "144859473",
            "telephone_number": "585-624-9777",
            "fax_number": "585-624-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMA VILLAGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "GOOLD",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "585-624-9777"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159567",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lima Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lima Village Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Jane Hinton, RN
• Carrie Johnson Mercurio
• Dewey James Kailburn, LPN
• Maureen Rita Leathersich, RN
• Scott Leslie, RN
• Juanita Lloyd, LPN
• Robert Jay Manchester, LPN
• Manda Winseman LCSW PLLC
• Morgan Jenice McCarty, RN
• Emily J Miller, NP

• Community/Retail Pharmacy in Lima, NY
• Providers in Lima, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.