Active NPI
James Jong Soo Lim, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1790346690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81036
- Practice address
- 303 S la Brea Ave
Los Angeles, CA 90036-3526 - Phone
- (323) 634-0743
- NPI assigned
- Jun 22, 2019
- Last updated
- Dec 6, 2019
- 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 | 81036 | CA | Primary |
Addresses
Primary practice location
303 S la Brea Ave
Los Angeles, CA 90036-3526
Mailing address
3345 Wilshire Blvd Apt 613
Los Angeles, CA 90010-1817
Phone (808) 265-2023
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
| License | State | Type | Specialty |
|---|---|---|---|
| 81036 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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, 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": "1561161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1790346690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 WILSHIRE BLVD APT 613",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101817",
"telephone_number": "808-265-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S LA BREA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363526",
"telephone_number": "323-634-0743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "JAMES",
"middle_name": "JONG SOO",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-22",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.