Organization Active NPI

Limas Professional Pharmacy

  • Pharmacist
  • Eureka, CA
National Provider Identifier
1770632655
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY43124 Issued in CA
Legal business name
LIMAS PROFESSIONAL PHARMACY
Practice address
2097 Harrison Ave
Eureka, CA 95501-3211
Phone
(707) 441-8500
Fax
(707) 443-7608
NPI assigned
Jan 9, 2007
Last updated
Apr 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Mr. Robert Lima, RPH
Title
Owner
Phone
(707) 441-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHY43124 CA Primary

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 2

IdentifierTypeStateIssuer
PHA431240MedicaidCA
0578609OtherCANABP

National Provider Directory

National Provider Directory

Locations

2097 Harrison Ave
Eureka, CA 95501
Phone (707) 441-8500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1770632655",
    "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": "LIMAS PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "LIMA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-441-8500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY43124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA431240",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0578609",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 30, 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.