DR. JOHN LIM (NPI# 1336516012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336516012 |
| Entity Type | Individual |
| Full Name | DR. JOHN LIM |
| Credential | PHARMD. |
| Practice Address |
9525 Queens Blvd Rego Park NY 11374-4510 |
| Mailing Address |
15837 76th Ave Fresh Meadows NY 11366-1029 |
| Practice Telephone | 7188966500 |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 058245 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487742763 | John Theodore Lim | Dentist | 533 Washington Ne, Albuquerque, NM 87108 | 2006-10-11 |
| 1508899493 | John Chin-tiong Lim | Obstetrics & Gynecology | 4201 Torrance Blvd Ste 530, Torrance, CA 90503 | 2006-07-07 |
| 1275586901 | John V Lim | Psychiatry & Neurology | 1405 Harlem Ave, Berwyn, IL 60402-4832 | 2006-05-17 |
| 1255809794 | John Lim | Behavior Technician | 6310 San Vicente Blvd Ste 402, Los Angeles, CA 90048-5457 | 2018-11-02 |
| 1316329782 | John J Lim | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2015-06-22 |
| 1215128814 | John Y Lim | General Practice | 13640 39th Ave, Suite 201, Flushing, NY 11354-5536 | 2007-08-07 |
| 1578783916 | John Sancho Lim | Dentist | 10120 Alondra Blvd, Bellflower, CA 90706-3904 | 2007-04-26 |
| 1407970585 | John J Lim | Surgery | 43331 Commons Dr, Clinton Township, MI 48038-1109 | 2007-03-16 |
| 1528139417 | John Y. Lim | Otolaryngology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-11-13 |
| 1497833065 | John H. Lim | Physical Medicine & Rehabilitation | 901 Nevin Ave, Richmond, CA 94801-3143 | 2006-11-01 |
| Street Address |
9525 QUEENS BLVD |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548222797 | Larissa Chaplia | Specialist | 9525 Queens Blvd, 520, Rego Park, NY 11374-4511 | 2006-04-04 |
| 1649767344 | New York Quality Healthcare Corporation | Health Maintenance Organization | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2018-04-18 |
| 1780094920 | Josephine Tsai | Internal Medicine | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2014-04-28 |
| 1679907109 | Sandra Angelella | Dietitian, Registered | 9525 Queens Blvd, Suite 07, Rego Park, NY 11374-4511 | 2013-09-03 |
| 1104169671 | City Rx Inc. | Pharmacy | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2013-04-02 |
| 1558612762 | Queens Boulevard Asc, LLC | Clinic/Center | 9525 Queens Blvd, 3rd Floor, Rego Park, NY 11374-4510 | 2012-09-27 |
| 1083973051 | Gurdeep Sareen | Pharmacist | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2012-05-11 |
| 1205111861 | New York State Catholic Health Plan, Inc. | Health Maintenance Organization | 9525 Queens Blvd, 8th Fl, Rego Park, NY 11374-4510 | 2011-10-14 |
| 1639451438 | Elizabeth Y Fung | Internal Medicine | 9525 Queens Blvd, 2nd Floor Suite A, Rego Park, NY 11374-4510 | 2011-09-16 |
| 1205114881 | Dmitriy Rubenov | Pharmacist | 9525 Queens Blvd, Rego Park, NY 11374-4510 | 2011-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502107 | Roman R Domatov | Pharmacist | 9618 67th Ave, Rego Park, NY 11374-5138 | 2020-09-13 |
| 1215557947 | Veniamin Yagudayev | Pharmacist | 6560 Wetherole St Apt 2a, Rego Park, NY 11374-4724 | 2020-04-22 |
| 1194362285 | Jessica Haimov | Pharmacist | 8911 63rd Dr Apt 106, Rego Park, NY 11374-3811 | 2019-12-08 |
| 1164989364 | Riveka Israilova | Pharmacist | 9841 65th Ave Apt 3d, Rego Park, NY 11374-3437 | 2019-02-23 |
| 1710456553 | Kelly Shengli Duan | Pharmacist | 6134 Austin St, Rego Park, NY 11374-1032 | 2018-11-23 |
| 1932684826 | Esther Shimonov | Pharmacist | 6360 102nd St Apt B11, Rego Park, NY 11374-2433 | 2018-09-26 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1841794146 | Zinaida Mulodzhanova | Pharmacist | 6441 Saunders St Apt 608, Rego Park, NY 11374-3200 | 2018-03-21 |
| 1295238152 | Maria Abramov | Pharmacist | 9958 66th Ave Apt 6f, Rego Park, NY 11374-3631 | 2018-03-16 |
| 1316450455 | David Pinhasov | Pharmacist | 9811 Queens Blvd Apt 2e, Rego Park, NY 11374-3311 | 2017-11-12 |
| Find all providers in REGO PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.