Lillian Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LILLIAN PHARMACY INC

Practice address

34023 US Highway 98
Lillian, AL 36549-4053

Phone

(251) 962-3777

Fax

(251) 962-3779

NPI assigned

Apr 18, 2006

Last updated

Feb 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mindy Krehling NoblesNPI 1407811144

Title

Delegated Official

Phone

(251) 962-3777

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL2 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.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mindy Krehling Nobles, CPHT

  • Pharmacy Technician
  • Lillian, AL
  • NPI 1407811144
  NPD Authorized official
• Stacy Davis, RPH

  • Pharmacist
  • Lillian, AL
  • NPI 1902825813
  NPD
• Carrie Renee Williams Ray, PHARMD.

  • Pharmacist
  • Foley, AL
  • NPI 1083969679
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1992760623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365490059",
            "telephone_number": "251-962-3777",
            "fax_number": "251-962-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34023 US HIGHWAY 98",
            "city": "LILLIAN",
            "state": "AL",
            "postal_code": "365494053",
            "telephone_number": "251-962-3777",
            "fax_number": "251-962-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "NOBLES",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "KREHLING",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "251-962-3777"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123099",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100115465",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fitting Designs, Inc.
• Kammer Chiropractic, PLLC
• Michael R. Land, D.P.T.
• Lillian Family Dentistry, P.C.
• Lillian Medical Clinic, PC
• Robert Stephen Love, RPHT
• Christina M Massinople, M.D.
• Danielle Medolla
• Mindy Krehling Nobles, CPHT
• James Girod Pace, M.D.

• Community/Retail Pharmacy in Lillian, AL
• Providers in Lillian, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.