McKenzie Mansfield Pharmacy Services, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

MCKENZIE MANSFIELD PHARMACY SERVICES, LLC

Practice address

4825 Rockbridge Rd
Suites 5 & 6
Stone Mountain, GA 30083-4297

Phone

(404) 297-3456

Fax

(404) 297-4790

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Luis Harris

Title

Pharmacist

Phone

(404) 297-3456

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073660478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 ROCKBRIDGE RD",
            "address_2": "SUITES 5 & 6",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 ROCKBRIDGE RD",
            "address_2": "SUITES 5 & 6",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834297",
            "telephone_number": "404-297-3456",
            "fax_number": "404-297-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE MANSFIELD PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-297-3456",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE008733",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret N McDaniell, CRNA
• Tessa McDonnell, FNP-BC
• James Myrick McGee I, D.M.D.
• Robin McGhee, O.D.
• Jordan Lynn McGinnis, M.DIV
• Manuel Carl McKenzie III
• Tywona McKenzie, LPN
• Dereka McKissack McKissack
• Erica Nannette McKnight, CSFA
• Julia McMichael

• Compounding Pharmacy in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Compounding Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.