Medlock Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MEDLOCK PHARMACY LLC

Practice address

11035 Medlock Bridge Rd Ste 40
Johns Creek, GA 30097-1981

Phone

(678) 691-1375

Fax

(800) 805-4561

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Theresa UstaNPI 1598623563

Title

Owner

Phone

(678) 691-1375

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Usta

  • Pharmacist
  • Johns Creek, GA
  • NPI 1598623563
  NPD Authorized official

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1609676733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 MEDLOCK BRIDGE RD STE 40",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971981",
            "telephone_number": "678-691-1375",
            "fax_number": "800-805-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 MEDLOCK BRIDGE RD STE 40",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971981",
            "telephone_number": "678-691-1375",
            "fax_number": "800-805-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLOCK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "USTA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-691-1375"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Chanelle McNeil, LPC
• Danah Carla McPherson, FNP-BC
• Meadow Pediatrics, PLLC
• Meadows Hand and Physical Therapy Clinic
• Erin Elizabeth Meason, NCC, APC
• Medlock Surgical Center LLC
• Erik Brandon Meeker, PT, DPT
• Nada Megally
• Ayesha Mehwash, MD
• Bryan Melendez, DC

• Pharmacy in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.