OrganizationActive
Lims Shasta Lake Pharmacy Inc
NPI 1154512226 · Community/Retail Pharmacy · Shasta Lake, CA
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
18 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.