Limas Professional Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY43125 Issued in CA

Legal business name

LIMAS PROFESSIONAL PHARMACY

Practice address

1711 Central Ave
McKinleyville, CA 95519-3601

Phone

(707) 839-8500

Fax

(707) 839-2780

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert B Lima, RPH

Title

President

Phone

(707) 441-8530

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Limas Professional Pharmacy Former legal business name

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1346398815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CENTRAL AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193601",
            "telephone_number": "707-839-8500",
            "fax_number": "707-839-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CENTRAL AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193601",
            "telephone_number": "707-839-8500",
            "fax_number": "707-839-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMAS PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "LIMA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-441-8530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY43125",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0578584",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA431250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Limas Professional Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Luis Horacio Lara
• Lawrence G Johanson DDS, Inc.
• Holly Khristyne Lawrence
• Scott Lee Lemmon, PHARM.D.
• Tammy Liebl, RN
• Chantal Madeleine Lobue, FNP/PAC
• Berit Ann Locatelli, M.A., CCC-SLP
• Toni Jane Loera, R.S.
• Ahmad Keenan Taj Logan
• Lorissa J Lorenzo, PA-C

• Community/Retail Pharmacy in McKinleyville, CA
• Providers in McKinleyville, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.