P Praxis·MD
● Active Type 2 · Organization

Mirror Lake Drugs & Medical Services Llc

Pharmacy·Villa Rica, GA· NPI 1689272452 · Enumerated 2020 · 5 years on NPI
Mirror Lake Drugs & Medical Services Llc is 1 of 1965 pharmacy organizations in Georgia.
NPI age
5 years
Enumerated 2020-10-14
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ihekwereme
Pharmacist/ Chief Executive Officer
Last NPPES update
2026-03-27
Source: monthly bulk 2026-05

How this organization compares

Across 1965 active pharmacy providers in Georgia.

NPI age
5 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-10Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
895 Dallas Hwy
Villa Rica, GA 301801237
📞 7704621152fax 7704621154
Mailing address
895 Dallas Hwy
Villa Rica, GA 301801237
📞 7704621152fax 7704621154

Authorized official

Chymar Okorie Ihekwereme, RPH
Pharmacist/ Chief Executive Officer
📞 7704621152

Specialties

  • Pharmacy Primary
    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...
    taxonomy 3336C0003X

Other names on file (3)

Doing-business-as, former, and alternate names recorded by NPPES.

  • MIRROR LAKE DRUGS
    Type code 3 recorded 2026-03-27
  • ROCKMART PHARMACY & MEDICAL SERVICES LLC
    Type code 4 recorded 2026-03-27
  • ROCKMART PHARMACY & MEDICAL SERVICES LLC
    Type code 4 recorded 2020-10-14

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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