Healthcare Provider Details

I. General information

NPI: 1356053102
Provider Name (Legal Business Name): LIMA PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2022
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 LIBERTY AVE
BROOKLYN NY
11208-3412
US

IV. Provider business mailing address

1214 LIBERTY AVE
BROOKLYN NY
11208-3412
US

V. Phone/Fax

Practice location:
  • Phone: 347-295-1544
  • Fax: 347-295-1546
Mailing address:
  • Phone: 347-295-1544
  • Fax: 347-295-1546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. MIR AKTER
Title or Position: PRESIDENT
Credential:
Phone: 347-295-1544