Lilburn Community Pharmacy
NPI 1134563406 · Community/Retail Pharmacy · Lilburn, GA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lilburn Community Pharmacy is a Community/Retail Pharmacy organization in Lilburn, GA (NPI 1134563406).
Provider details
- NPI number
- 1134563406
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Samina Khatri, Owner/Organizer(770) 710-0478
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lilburn Community Pharmacy
Additional practice locations (1)
- 325 Lester Rd Nw Ste BLawrenceville, GA 30044-4046Phone: (770) 935-1515Fax: (770) 710-0861
Registry dates
- Enumerated
- 2013-04-17
- Last updated
- 2024-05-04
- Certified
- 2022-02-03
Frequently asked questions
- What is Lilburn Community Pharmacy's NPI number?
- Lilburn Community Pharmacy's National Provider Identifier (NPI) is 1134563406, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lilburn Community Pharmacy?
- Lilburn Community Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Lilburn Community Pharmacy located?
- Lilburn Community Pharmacy's practice location on file with NPPES is 4025 Lawrenceville Hwy Nw Ste D, Lilburn, GA 30047-2876.
- What is Lilburn Community Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Lilburn Community Pharmacy is (770) 710-0478.
- Does Lilburn Community Pharmacy accept Medicare?
- Lilburn Community Pharmacy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lilburn Community Pharmacy?
- The authorized official listed on Lilburn Community Pharmacy's NPPES record is Samina Khatri, Owner/Organizer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lilburn Community Pharmacy's NPI active?
- Yes — Lilburn Community Pharmacy's NPI (1134563406) is active in the NPPES registry as of the last update on 2024-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.