NPI age
13 years
Enumerated 2012-10-24
● Active Type 2 · Organization
Mirror Lake Drugs & Medical Services Llc
Mirror Lake Drugs & Medical Services Llc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ihekwereme
Pic/chief Executive Officer
Last NPPES update
2020-10-22
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 65% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-10Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
895 Dallas Hwy
Villa Rica, GA 301801237
Mailing address
895 Dallas Hwy
Villa Rica, GA 301801237
Authorized official
Chymar Okorie Ihekwereme, RPH
Pic/chief Executive Officer
📞 7704621152
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...
-
PharmacistAn individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003129213A | |
| 01 | 2137507 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Rockmart Pharmacy & Medical Services LLC
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 1965 Pharmacy providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.