Larry J Render
Individual provider Active NPI Pharmacist · Johns Creek, GA
NPI 1023960911 · NPPES record last updated Feb 12, 2026
Key facts
- NPI
- 1023960911
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH021962 (GA)
- Practice address
- 10985 Abbotts Station Dr
Johns Creek, GA 30097-8492 - Phone
- (404) 693-5438
- Fax
- (404) 505-4182
- NPI assigned
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH021962 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021962 | GA | Yes |
Addresses
Primary practice location
10985 Abbotts Station Dr
Johns Creek, GA 30097-8492
Mailing address
10985 Abbotts Station Dr
Johns Creek, GA 30097-8492
Phone (404) 693-5438
Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.