Individual provider Active NPI

Stephanie Rose Lim, PHARM.D.

  • Pharmacist
  • Floral Park, NY
National Provider Identifier
1750890380
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
063420 Issued in NY
Practice address
73 Covert Ave
Floral Park, NY 11001-3218
Phone
(516) 354-1227
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 063420 NY Primary

Addresses

Primary practice location

73 Covert Ave
Floral Park, NY 11001-3218

Mailing address

5640 212TH St
Bayside Hills, NY 11364-1820

Other practice location 1

5640 212th St
Bayside Hills, NY 11364-1820
Phone (646) 243-5287

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
063420NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarana Drugs LLC PastSince Jun 26, 2022 Accepting new patients
Raindew Covert LTD Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750890380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 212TH ST",
            "city": "BAYSIDE HILLS",
            "state": "NY",
            "postal_code": "113641820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 COVERT AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110013218",
            "telephone_number": "516-354-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5640 212th St",
            "address_purpose": "LOCATION",
            "city": "Bayside Hills",
            "state": "NY",
            "postal_code": "113641820",
            "country_code": "US",
            "telephone_number": "646-243-5287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.