Active NPI
Joe Timothy Lim, PHARMD, MS, MBA
- Pharmacist
- Elk Grove, CA
National Provider Identifier
1588020564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62639
- Practice address
- 4809 Coppola Cir
Elk Grove, CA 95757-4621 - Phone
- (916) 996-2682
- NPI assigned
- Jan 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 62639 | CA | Primary |
Addresses
Primary practice location
4809 Coppola Cir
Elk Grove, CA 95757-4621
Mailing address
4809 Coppola Cir
Elk Grove, CA 95757-4621
Phone (916) 996-2682
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
- Master of Business Administration, Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62639 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1588020564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 COPPOLA CIR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957574621",
"telephone_number": "916-996-2682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 COPPOLA CIR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957574621",
"telephone_number": "916-996-2682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "JOE",
"middle_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "PHARMD, MS, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-06",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.