OrganizationActive
Eastlake Pharmacy Inc
NPI 1255676326 · Community/Retail Pharmacy · Atlanta, GA
Eastlake Pharmacy Inc is a Community/Retail Pharmacy organization in Atlanta, GA (NPI 1255676326).
Provider details
- NPI number
- 1255676326
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Thomas Jusu, Owner Pharmacist-In-Charge(678) 357-1044
- License
- PHRE009881 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1308 Glenwood Ave Se
Atlanta, GA 30316-2077
Phone: (770) 593-8688
Street-level locationGet directions
Mailing address
4141 Brooks Mill Dr
Lithonia, GA 30038-4144
Other names (DBA / former)
- Doing business as
- Eastlake Pharmacy
Registry dates
- Enumerated
- 2012-11-30
- Last updated
- 2012-11-30
Frequently asked questions
- What is Eastlake Pharmacy Inc's NPI number?
- Eastlake Pharmacy Inc's National Provider Identifier (NPI) is 1255676326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastlake Pharmacy Inc?
- Eastlake Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Eastlake Pharmacy Inc located?
- Eastlake Pharmacy Inc's practice location on file with NPPES is 1308 Glenwood Ave Se, Atlanta, GA 30316-2077.
- What is Eastlake Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Eastlake Pharmacy Inc is (770) 593-8688.
- Who is the authorized official for Eastlake Pharmacy Inc?
- The authorized official listed on Eastlake Pharmacy Inc's NPPES record is Thomas Jusu, Owner Pharmacist-In-Charge. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastlake Pharmacy Inc's NPI active?
- Yes — Eastlake Pharmacy Inc's NPI (1255676326) is active in the NPPES registry as of the last update on 2012-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.