Individual provider Active NPI

Daniel Lim

  • Pharmacist
  • Woodstock, IL
National Provider Identifier
1720753452
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051303893 Issued in IL
Practice address
305 S Eastwood Dr
Woodstock, IL 60098-4626
Phone
(815) 338-7880
Fax
(815) 338-1629
NPI assigned
Aug 13, 2021
Last updated
Apr 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051303893 IL Primary

Addresses

Primary practice location

305 S Eastwood Dr
Woodstock, IL 60098-4626

Mailing address

17W755 Butterfield Rd Ste 102
Oakbrook Terrace, IL 60181-4367
Phone (224) 688-7551

Other practice location 1

17W755 Butterfield Rd Ste 102
Oakbrook Terrace, IL 60181-4367
Phone (224) 688-7551

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

State licenses

LicenseStateTypeSpecialty
051303893ILMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1720753452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W755 BUTTERFIELD RD STE 102",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814367",
            "telephone_number": "224-688-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S EASTWOOD DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600984626",
            "telephone_number": "815-338-7880",
            "fax_number": "815-338-1629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17W755 Butterfield Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814367",
            "country_code": "US",
            "telephone_number": "224-688-7551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.