Active NPI
David Lim, PHARMD, BS
- Pharmacist
- Rancho Cordova, CA
National Provider Identifier
1568197853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH86216
- Practice address
- 4050 Sunrise Blvd
Rancho Cordova, CA 95742-6907 - Phone
- (916) 294-9566
- NPI assigned
- Jul 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH86216 | CA | Primary |
Addresses
Primary practice location
4050 Sunrise Blvd
Rancho Cordova, CA 95742-6907
Mailing address
4050 Sunrise Blvd
Rancho Cordova, CA 95742-6907
Phone (916) 294-9566
Other practice location 1
2201 Arden Way
Sacramento, CA 95825-3301
Phone (916) 929-7341
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
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH86216 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4050 Sunrise Blvd
Rancho Cordova, CA 95742
Phone (916) 294-9566
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1568197853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 SUNRISE BLVD",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957426907",
"telephone_number": "916-294-9566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 SUNRISE BLVD",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957426907",
"telephone_number": "916-294-9566"
}
],
"practiceLocations": [
{
"address_1": "2201 Arden Way",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958253301",
"country_code": "US",
"telephone_number": "916-929-7341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIM",
"first_name": "DAVID",
"credential": "PHARMD, BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-20",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH86216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.