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LILY'S PHARMACY, LLC
NPI 1730520123
Pharmacy - Community/Retail Pharmacy in Johns Creek, GA

Active since July 12, 2013
11670 JONES BRIDGE RD, SUITE E, JOHNS CREEK, GA 30005(678) 964-5459(678) 619-1018 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lily's Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILY'S PHARMACY, LLC (NPI 1730520123) is a healthcare organization registered as a community/retail pharmacy in Johns Creek, Georgia and active in the NPI registry since July 2013. The organization lists Jennifer A Shannon, Owner, as its authorized official.

NPPES Registry Identity

NPI1730520123
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameLILY'S PHARMACY, LLC
Location Address11670 JONES BRIDGE RD, SUITE EJohns Creek, GA 30005-2540
Mailing Address11670 Jones Bridge Rd, Suite EJohns Creek, GA 30005-2540 · (678) 964-5459 · Fax (678) 619-1018
Phone(678) 964-5459
Fax(678) 619-1018
Organization SubpartNo
Authorized OfficialJennifer A ShannonOwner · (770) 653-0629
Enumeration DateJuly 12, 2013
Last NPPES UpdateSeptember 11, 2015
✔ NPI 1730520123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
11670 JONES BRIDGE RD, Johns Creek, GA 30005
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Other Identifiers 1

Medicare NSC7389010001GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lily's Pharmacy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20150903002989DME · PharmacyDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
23 services23 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Lily's Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Lily's Pharmacy LLC

DMEPOS supplier · Johns Creek, GA
✔

Accepts Medicare assignment

Lily's Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20505233
Medicare Participant SinceJune 18, 2014
Supplier Location11670 Jones Bridge Rd EJohns Creek, GA 30005
Phone(678) 964-5459
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALI RAJAI D.D.S.
Dentist
11670 JONES BRIDGE RD, SUITE C
ALPHARETTA, GA 30005
Fulton County (770) 751-8800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lily's Pharmacy, LLC's NPI number?

The NPI number for Lily's Pharmacy, LLC is 1730520123. It was assigned to this organization in the NPPES registry on July 12, 2013.

Where is Lily's Pharmacy, LLC located?

Lily's Pharmacy, LLC is located at 11670 Jones Bridge Rd Suite E, Johns Creek, GA 30005. The listed phone number is (678) 964-5459.

What is Lily's Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Lily's Pharmacy, LLC enrolled in Medicare?

Yes. Lily's Pharmacy, LLC is registered in the Medicare PECOS enrollment system.

When is Lily's Pharmacy, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Georgia, Pharmacy) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Lily's Pharmacy, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Lily's Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Lily's Pharmacy, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 43 other insurers list Lily's Pharmacy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lily's Pharmacy, LLC was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.