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DR. RENAE IBANGA PHARM. D.
NPI 1154926111
Pharmacist in Lilburn, GA

Active since November 30, 2020
4100 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047(770) 921-8071 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Renae Ibanga Pharm. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RENAE IBANGA PHARM. D. (NPI 1154926111) is an individual pharmacist in Lilburn, Georgia, licensed in Georgia (RPH030449) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1154926111
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. RENAE IBANGACredential: PHARM. D.
Location Address4100 FIVE FORKS TRICKUM RD SWLilburn, GA 30047-3124
Mailing Address4800 Duval Point Way SwSnellville, GA 30039-7625 · (404) 446-7291
Phone(770) 921-8071
Sole ProprietorNo
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1154926111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH030449
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4100 FIVE FORKS TRICKUM RD SW, Lilburn, GA 30047
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARAH HINDASH PHARMD
Pharmacist
4100 FIVE FORKS TRICKUM RD SW
LILBURN, GA 30047
Gwinnett County (770) 921-8071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renae Ibanga's NPI number?

The NPI number for Renae Ibanga is 1154926111. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Renae Ibanga located?

Renae Ibanga practices at 4100 Five Forks Trickum Rd SW, Lilburn, GA 30047. The listed phone number is (770) 921-8071.

What is Renae Ibanga's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Renae Ibanga was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.