IndividualActive
Renae Ibanga, PHARM. D.
NPI 1154926111 · Pharmacist · Lilburn, GA
Renae Ibanga, PHARM. D. is a Pharmacist provider in Lilburn, GA (NPI 1154926111).
Provider details
- NPI number
- 1154926111
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM. D.
- Sex
- Female
- Sole proprietor
- No
- License
- RPH030449 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4100 Five Forks Trickum Rd Sw
Lilburn, GA 30047-3124
Phone: (770) 921-8071
Street-level locationGet directions
Mailing address
4800 Duval Point Way Sw
Snellville, GA 30039-7625
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2020-11-30
- Certified
- 2020-11-30
Frequently asked questions
- What is Renae Ibanga's NPI number?
- Renae Ibanga's National Provider Identifier (NPI) is 1154926111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Renae Ibanga's specialty?
- Renae Ibanga is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Renae Ibanga located?
- Renae Ibanga's practice location on file with NPPES is 4100 Five Forks Trickum Rd Sw, Lilburn, GA 30047-3124.
- What is Renae Ibanga's phone number?
- The practice phone number listed in the NPPES registry for Renae Ibanga is (770) 921-8071.
- Is Renae Ibanga's NPI active?
- Yes — Renae Ibanga's NPI (1154926111) is active in the NPPES registry as of the last update on 2020-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.