OrganizationActive
Old Norcross Road Pharmacy LLC
NPI 1174852966 · Community/Retail Pharmacy · Lawrenceville, GA
Old Norcross Road Pharmacy LLC is a Community/Retail Pharmacy organization in Lawrenceville, GA (NPI 1174852966).
Provider details
- NPI number
- 1174852966
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Linus Igbokwe, Director/ Owner(770) 682-8622
- License
- PHRE009621 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
558 Old Norcross Rd
Suite 201
Lawrenceville, GA 30046-4385
Phone: (770) 682-8622
Fax: (770) 682-8623
Street-level locationGet directions
Mailing address
558 Old Norcross Rd
Lawrenceville, GA 30046-4385
Other names (DBA / former)
- Doing business as
- Old Norcross Road Pharmacy
Registry dates
- Enumerated
- 2009-12-08
- Last updated
- 2010-08-10
Frequently asked questions
- What is Old Norcross Road Pharmacy LLC's NPI number?
- Old Norcross Road Pharmacy LLC's National Provider Identifier (NPI) is 1174852966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Norcross Road Pharmacy LLC?
- Old Norcross Road Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Old Norcross Road Pharmacy LLC located?
- Old Norcross Road Pharmacy LLC's practice location on file with NPPES is 558 Old Norcross Rd, Lawrenceville, GA 30046-4385.
- What is Old Norcross Road Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Old Norcross Road Pharmacy LLC is (770) 682-8622.
- Who is the authorized official for Old Norcross Road Pharmacy LLC?
- The authorized official listed on Old Norcross Road Pharmacy LLC's NPPES record is Linus Igbokwe, Director/ Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Norcross Road Pharmacy LLC's NPI active?
- Yes — Old Norcross Road Pharmacy LLC's NPI (1174852966) is active in the NPPES registry as of the last update on 2010-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.