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MEDLOCK PHARMACY LLC
NPI 1609676733
Pharmacy in Johns Creek, GA

Active since March 17, 2025CLIA 11D2344967 · Waiver
11035 MEDLOCK BRIDGE RD STE 40, JOHNS CREEK, GA 30097(678) 691-1375(800) 805-4561 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Mar 23, 2026, Jan 9, 2026 and 1 more (4 updates tracked since 2025).

About Medlock Pharmacy Llc NPPES

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

MEDLOCK PHARMACY LLC (NPI 1609676733) is a healthcare organization registered as a pharmacy in Johns Creek, Georgia and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Theresa Usta, Owner, as its authorized official.

NPPES Registry Identity

NPI1609676733
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMEDLOCK PHARMACY LLC
Location Address11035 MEDLOCK BRIDGE RD STE 40Johns Creek, GA 30097-1981
Mailing Address11035 Medlock Bridge Rd Ste 40Johns Creek, GA 30097-1981 · (678) 691-1375 · Fax (800) 805-4561
Phone(678) 691-1375
Fax(800) 805-4561
Organization SubpartNo
Authorized OfficialTheresa UstaOwner · (678) 691-1375
Enumeration DateMarch 17, 2025
Last NPPES UpdateMay 6, 20264 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1609676733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
11035 MEDLOCK BRIDGE RD STE 40, Johns Creek, GA 30097
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, SummaCare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2344967

Medlock Pharmacy · Johns Creek, GA
Active · expires Jun 2, 2028
CLIA Number11D2344967
Laboratory TypePharmacy
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorTheresa S. Usta
Laboratory Phone(678) 691-1375
Laboratory LocationMedlock Pharmacy11035 Medlock Bridge Road, Suite 40, Johns Creek, GA 30097
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

THERESA USTA
Pharmacist
11035 MEDLOCK BRIDGE RD STE 40
JOHNS CREEK, GA 30097
Gwinnett County (678) 691-1375

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 Medlock Pharmacy LLC's NPI number?

The NPI number for Medlock Pharmacy LLC is 1609676733. It was assigned to this organization in the NPPES registry on March 17, 2025.

Where is Medlock Pharmacy LLC located?

Medlock Pharmacy LLC is located at 11035 Medlock Bridge Rd Ste 40, Johns Creek, GA 30097. The listed phone number is (678) 691-1375.

What is Medlock Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Medlock Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2344967) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medlock Pharmacy LLC accept?

Health plans from HealthPartners and SummaCare list Medlock Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medlock Pharmacy LLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.