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LIMS SHASTA LAKE PHARMACY INC
NPI 1154512226
Pharmacy - Community/Retail Pharmacy in Shasta Lake, CA

Active since August 05, 2007
4215 FRONT ST, STE 31, SHASTA LAKE, CA 96019(530) 275-2100(530) 275-5900 Get Directions Write a Review

NPPES record last updated: July 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lims Shasta Lake Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIMS SHASTA LAKE PHARMACY INC (NPI 1154512226) is a healthcare organization registered as a community/retail pharmacy in Shasta Lake, California and active in the NPI registry since August 2007. The organization lists Ronald Lim, President, as its authorized official.

NPPES Registry Identity

NPI1154512226
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLIMS SHASTA LAKE PHARMACY INC
Location Address4215 FRONT ST, STE 31Shasta Lake, CA 96019-9430
Mailing Address4215 Front St, Ste 31Shasta Lake, CA 96019-9430 · (530) 275-2100 · Fax (530) 275-5900
Phone(530) 275-2100
Fax(530) 275-5900
Organization SubpartNo
Authorized OfficialRonald LimPresident · (530) 941-1179
Enumeration DateAugust 5, 2007
Last NPPES UpdateJuly 1, 2009
✔ NPI 1154512226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY48558
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4215 FRONT ST, Shasta Lake, CA 96019
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Other Names 1

Doing Business AsLims Shasta Lake Pharmacy Inc

Other Identifiers 1

Other5627748Ncpdp Provider Identification Number

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHASTA COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
4215 FRONT ST
SHASTA LAKE, CA 96019
Shasta County (530) 246-5896
LYNN PAINTER RDH
Dental Hygienist
4215 FRONT ST
SHASTA LAKE, CA 96019
Shasta County (530) 276-9129
MRS. MELODIE G. GILL FNP
Nurse Practitioner (Family)
4215 FRONT ST
SHASTA LAKE, CA 96019
Shasta County (530) 276-9168
ELAINE PORTER MD
Family Medicine
4215 FRONT ST
SHASTA LAKE, CA 96019
Shasta County (530) 246-5710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lims Shasta Lake Pharmacy Inc's NPI number?

The NPI number for Lims Shasta Lake Pharmacy Inc is 1154512226. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Lims Shasta Lake Pharmacy Inc located?

Lims Shasta Lake Pharmacy Inc is located at 4215 Front St Ste 31, Shasta Lake, CA 96019. The listed phone number is (530) 275-2100.

What is Lims Shasta Lake Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Lims Shasta Lake Pharmacy Inc was last updated on July 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.