NPI age
16 years
Enumerated 2009-12-08
● Active Type 2 · Organization
Old Norcross Road Pharmacy Llc
Old Norcross Road Pharmacy Llc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Igbokwe
Director/ Owner
Last NPPES update
2010-08-10
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
16 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-12Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
558 Old Norcross Rd, Suite 201
Lawrenceville, GA 300464385
Mailing address
558 Old Norcross Rd, Suite 201
Lawrenceville, GA 300464385
Authorized official
Linus Igbokwe
Director/ Owner
📞 7706828622
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Cindy Jaramillo, PARAMEDICAL TATTOO Specialist NPI 1467213066
Specialties
-
Pharmacy PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1159424 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Old Norcross Road Pharmacy
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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