Mirror Lake Drugs & Medical Services LLC
NPI 1962755256 · Community/Retail Pharmacy · Villa Rica, GA
Mirror Lake Drugs & Medical Services LLC is a Community/Retail Pharmacy organization in Villa Rica, GA (NPI 1962755256).
Provider details
- NPI number
- 1962755256
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Chymar Ihekwereme, Pic/Chief Executive Officer(770) 462-1152
Specialties & taxonomies
Suppliers
- Pharmacist183500000X
Pharmacy Service Providers
- Pharmacy333600000X
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Former legal business name
- Rockmart Pharmacy & Medical Services LLC
Registry dates
- Enumerated
- 2012-10-24
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Frequently asked questions
- What is Mirror Lake Drugs & Medical Services LLC's NPI number?
- Mirror Lake Drugs & Medical Services LLC's National Provider Identifier (NPI) is 1962755256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mirror Lake Drugs & Medical Services LLC?
- Mirror Lake Drugs & Medical Services LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Mirror Lake Drugs & Medical Services LLC located?
- Mirror Lake Drugs & Medical Services LLC's practice location on file with NPPES is 895 Dallas Hwy, Villa Rica, GA 30180-1237.
- What is Mirror Lake Drugs & Medical Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Mirror Lake Drugs & Medical Services LLC is (770) 462-1152.
- Who is the authorized official for Mirror Lake Drugs & Medical Services LLC?
- The authorized official listed on Mirror Lake Drugs & Medical Services LLC's NPPES record is Chymar Ihekwereme, Pic/Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mirror Lake Drugs & Medical Services LLC's NPI active?
- Yes — Mirror Lake Drugs & Medical Services LLC's NPI (1962755256) is active in the NPPES registry as of the last update on 2020-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.