Lily Care LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28968 Issued in FL

Legal business name

LILY CARE LLC

Practice address

8811 State Road 52 Ste 11
Hudson, FL 34667-6751

Phone

(727) 233-9908

Fax

(727) 233-9908

NPI assigned

Apr 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Du Phuong Thi Nguyen, RPHNPI 1417691981

Title

Pic

Phone

(727) 233-9908

Specialties & licenses 1

Addresses

Other names 1

• Lily Care Pharmacy Doing business as

Electronic endpoints 1

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Du Phuong Thi Nguyen, RPH

  • Pharmacist
  • Hudson, FL
  • NPI 1417691981
  NPD Authorized official
• Mindy Lynn Decker, RPHT

  • Pharmacy Technician
  • Hudson, FL
  • NPI 1013666429
  NPD (past)
• Minimol Kuriakose, RPH

  • Pharmacist
  • Zephyrhills, FL
  • NPI 1417766684
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1669869376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11060 LYNN LAKE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255641",
            "telephone_number": "727-233-9908",
            "fax_number": "727-233-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 STATE ROAD 52 STE 11",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676751",
            "telephone_number": "727-233-9908",
            "fax_number": "727-233-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DU PHUONG",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "727-233-9908",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LILYCAREPHARMACY.COM",
            "affiliation": "N",
            "endpointDescription": "Lily Care Pharmacy",
            "address_1": "8811 State Road 52 Ste 11",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346676751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lily Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lily Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gavn David Levy
• Brookelyn Mikiela Lewis, OTR/L
• Mary Ellen Lian, M.S., CCC - SLP
• Brianna N Libertore, MOT, OTR/L
• Yaira Liedl
• Kolin Limbrick
• Limestone Wellness, Inc.
• David Christopher Limon
• Huang-Ta Lin, MD
• Lincare Inc.

• Community/Retail Pharmacy in Hudson, FL
• Providers in Hudson, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.