McKenzie Mansfield Pharmacy Services, LLC
NPI 1073660478ActiveOrganization· Pharmacy, Compounding Pharmacy· Stone Mountain, GA
Pharmacy, Compounding Pharmacy in Stone Mountain, Georgia, registered in NPPES in January 2007. The authorized official on file is Luis Harris, Pharmacist.
Overview
| NPI | 1073660478 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 5, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | GA |
| Pharmacy | 333600000X | PHRE008733 | GA |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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