Individual provider Active NPI

Heeseung Jennifer Lim, PHARMD

  • Pharmacist
  • Bee Cave, TX
National Provider Identifier
1457074643
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69103 Issued in TX
Practice address
3702 Ranch Road 620 S
Bee Cave, TX 78738-6304
Phone
(512) 651-0095
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
Yes

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
69103TXMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69103 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

3702 Ranch Road 620 S
Bee Cave, TX 78738-6304

Mailing address

1625 Edgeworth BND Apt 831
Austin, TX 78754-4095
Phone (201) 800-2117

Other names 1

NPPES NPI Registry
  • Heeseung Jennifer Mueller Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2022.

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1457074643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 EDGEWORTH BND APT 831",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787544095",
            "telephone_number": "201-800-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 RANCH ROAD 620 S",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386304",
            "telephone_number": "512-651-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "HEESEUNG",
        "middle_name": "JENNIFER",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "69103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEESEUNG",
            "last_name": "MUELLER",
            "middle_name": "JENNIFER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bee Cave, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.