Active NPI
Phic Kaing Lim, PHARMD
- Compounded Sterile Preparations Pharmacist
- La Canada Flintridge, CA
National Provider Identifier
1871463596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounded Sterile Preparations Pharmacist
- License
- 49175
- Practice address
- 529 Foothill Blvd
La Canada Flintridge, CA 91011-3507 - Phone
- (626) 217-0188
- NPI assigned
- Nov 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounded Sterile Preparations Pharmacist | 1835C0207X | 49175 | CA | Primary |
| Pharmacist | 183500000X | 49175 | CA |
Addresses
Primary practice location
529 Foothill Blvd
La Canada Flintridge, CA 91011-3507
Mailing address
529 Foothill Blvd
La Canada Flintridge, CA 91011-3507
Phone (626) 217-0188
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 |
|---|---|---|---|
| 49175 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1871463596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 FOOTHILL BLVD",
"city": "LA CANADA FLINTRIDGE",
"state": "CA",
"postal_code": "910113507",
"telephone_number": "626-217-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 FOOTHILL BLVD",
"city": "LA CANADA FLINTRIDGE",
"state": "CA",
"postal_code": "910113507",
"telephone_number": "626-217-0188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIM",
"first_name": "PHIC",
"middle_name": "KAING",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0207X",
"taxonomy_group": "",
"desc": "Pharmacist, Compounded Sterile Preparations",
"state": "CA",
"license": "49175",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "49175",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Canada Flintridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.