Organization Active NPI

Lima's Professional Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Eureka, CA
National Provider Identifier
1548347180
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43124 Issued in CA
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

Updated by the provider on Apr 9, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY431240MedicaidCA

Other names 1

  • Lima's Professional Pharmacy Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.