Active NPI
Lima's Professional Pharmacy, Inc.
- Community/Retail Pharmacy
- Eureka, CA
National Provider Identifier
1548347180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY43124
- Legal business name
- LIMA'S PROFESSIONAL PHARMACY, INC.
- Practice address
- 2097 Harrison Ave
Eureka, CA 95501-3211 - Phone
- (707) 441-8500
- Fax
- (707) 443-7608
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Brede Lima, R.PH.
- Title
- President
- Phone
- (707) 441-8530
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY43124 | CA | Primary |
| Compounding Pharmacy | 3336C0004X | PHY43124 | CA | |
| Compounding Pharmacy | 3336C0004X | 99030 | CA |
Addresses
Primary practice location
2097 Harrison Ave
Eureka, CA 95501-3211
Mailing address
2097 Harrison Ave
Eureka, CA 95501-3211
Phone (707) 441-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY431240 | Medicaid | CA |
Other names 1
- Lima's Professional Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Eureka, CA
- NPI 1376713883
-
- Pharmacist
- Eureka, CA
- NPI 1902052277
-
- Pharmacy Technician
- Eureka, CA
- NPI 1043195118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239235200000",
"number": "1548347180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 HARRISON AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013211",
"telephone_number": "707-441-8500",
"fax_number": "707-443-7608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HARRISON AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013211",
"telephone_number": "707-441-8500",
"fax_number": "707-443-7608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIMA'S PROFESSIONAL PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2009-04-09",
"status": "A",
"authorized_official_last_name": "LIMA",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "BREDE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-441-8530",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY43124",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "CA",
"license": "PHY43124",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "CA",
"license": "99030",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHY431240",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lima's Professional Pharmacy",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.