Lily'S Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LILY'S PHARMACY, LLC

Practice address

11670 Jones Bridge Rd
Suite E
Johns Creek, GA 30005-2540

Phone

(678) 964-5459

Fax

(678) 619-1018

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Jennifer A Shannon, PHARMDNPI 1154688307

Title

Owner

Phone

(770) 653-0629

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Jennifer Ann Shannon, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Suwanee, GA
  • NPI 1154688307
  NPD Authorized official

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1730520123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11670 JONES BRIDGE RD",
            "address_2": "SUITE E",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300052540",
            "telephone_number": "678-964-5459",
            "fax_number": "678-619-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11670 JONES BRIDGE RD",
            "address_2": "SUITE E",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300052540",
            "telephone_number": "678-964-5459",
            "fax_number": "678-619-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-653-0629",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Leka, CNM
• Stephanie Lemus
• Melissa E Leray, AA
• Sidney Li, DDS
• William Jay Lichtenfeld, M.D.
• Jeffrey Scott Lim, D.O.
• Valerie C Lin
• Cara Lindell
• Amy E Lingenfelter, NURSE PRACTITIONER
• Bailey Little, APC

• Community/Retail Pharmacy in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.