OrganizationActive
Lims Shasta Lake Pharmacy Inc
NPI 1154512226 · Community/Retail Pharmacy · Shasta Lake, CA
Lims Shasta Lake Pharmacy Inc is a Community/Retail Pharmacy organization in Shasta Lake, CA (NPI 1154512226).
Provider details
- NPI number
- 1154512226
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ronald Lim, President(530) 941-1179
- License
- PHY48558 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4215 Front St
Ste 31
Shasta Lake, CA 96019-9430
Phone: (530) 275-2100
Fax: (530) 275-5900
Street-level locationGet directions
Mailing address
4215 Front St
Shasta Lake, CA 96019-9430
Other names (DBA / former)
- Doing business as
- Lims Shasta Lake Pharmacy Inc
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2009-07-01
Frequently asked questions
- What is Lims Shasta Lake Pharmacy Inc's NPI number?
- Lims Shasta Lake Pharmacy Inc's National Provider Identifier (NPI) is 1154512226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lims Shasta Lake Pharmacy Inc?
- Lims Shasta Lake Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lims Shasta Lake Pharmacy Inc located?
- Lims Shasta Lake Pharmacy Inc's practice location on file with NPPES is 4215 Front St, Shasta Lake, CA 96019-9430.
- What is Lims Shasta Lake Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Lims Shasta Lake Pharmacy Inc is (530) 275-2100.
- Who is the authorized official for Lims Shasta Lake Pharmacy Inc?
- The authorized official listed on Lims Shasta Lake Pharmacy Inc's NPPES record is Ronald Lim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lims Shasta Lake Pharmacy Inc's NPI active?
- Yes — Lims Shasta Lake Pharmacy Inc's NPI (1154512226) is active in the NPPES registry as of the last update on 2009-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.