NORTHSIDE HOSPITAL, INC.


Address: 1100 Johnson Ferry Rd, Ste 107, Atlanta, GA 30342-1709
Phone: 4048453201

NORTHSIDE HOSPITAL, INC. (NPI# 1073572723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073572723
Entity Type Organization
Organization Name NORTHSIDE HOSPITAL, INC.
Other Organization Name THE PHARMACY CENTER
Practice Address 1100 Johnson Ferry Rd
Ste 107
Atlanta
GA 30342-1709
Mailing Address Pharmacy Lock Box
Po Box 935685
Atlanta
GA 31193-0001
Practice Telephone 4048453201
Practice Fax Number 4048431503
Mailing Telephone 4048453201
Mailing Fax Number 4048431503
Enumeration Date 2006-03-21
Last Update Date 2016-01-20
Authorized Official Name JUDY GARDNER (PHARMACY DIRECTOR)
Authorized Official Telephone 4048516793
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PHRE08709 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2138817 01

Other Provider/Organization Names

Other Name Type Code
The Pharmacy Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770112021 Northside Hospital, Inc. Durable Medical Equipment & Medical Supplies 460 Northside Cherokee Blvd Ste 145, Canton, GA 30115-8016 2020-04-07
1417391194 Northside Hospital, Inc. Pharmacy 1240 Jesse Jewell Pkwy Se Ste 550, Gainesville, GA 30501-3863 2013-04-24
1861416562 Northside Hospital, Inc. Pharmacy 5670 Peachtree Dunwoody Rd Ste 1100, Atlanta, GA 30342-4795 2006-07-26
1790715381 Northside Hospital, Inc. General Acute Care Hospital 3620 Howell Ferry Road, Duluth, GA 30096-3223 2006-07-03
1134168016 Northside Hospital, Inc. Rehabilitation Unit 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 2006-06-06
1437134970 Northside Hospital, Inc. General Acute Care Hospital 650 Professional Dr, Lawrenceville, GA 30045-8707 2005-12-07
1679572861 Northside Hospital, Inc. Pharmacy 3400 Old Milton Pkwy # A, Suite 140, Alpharetta, GA 30005-3707 2005-07-19
1326679150 Northside Hospital, Inc. Pharmacy 1485 Jesse Jewell Pkwy Ne Ste 330, Gainesville, GA 30501-3801 2020-01-30
1386062255 Northside Hospital, Inc. Clinic/Center 4553 N Shallowford Rd, Ste. 60-c, Atlanta, GA 30338-6408 2014-03-28
1225050396 Northside Hospital, Inc. General Acute Care Hospital 450 Northside Cherokee Blvd, Canton, GA 30115-8015 2006-07-24

Office Location

Street Address 1100 JOHNSON FERRY RD
STE 107
City ATLANTA
State GA
Zip Code 30342-1709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801430749 Adam Whitney Gates Pharmacist 1100 Johnson Ferry Rd, Atlanta, GA 30342-1709 2019-11-04
1124599949 Lindsey E Whitehurst Midwife 1100 Johnson Ferry Rd, Atlanta, GA 30342-1709 2018-12-06
1164897344 Molly Wolfson Psychologist 1100 Johnson Ferry Rd, Ste. 230, Atlanta, GA 30342-1709 2015-12-14
1477936722 Paige W. Estep Nurse Practitioner 1100 Johnson Ferry Rd, Suite 600, Atlanta, GA 30342-1709 2015-07-06
1689073264 Russell Rosenberg Psychologist 1100 Johnson Ferry Rd, Ste 420, Atlanta, GA 30342-1709 2014-08-19
1265737415 Hyung Cho Ophthalmology 1100 Johnson Ferry Rd, Suite 593, Atlanta, GA 30342-1709 2011-01-19
1699007419 Monica Willis Best Obstetrics & Gynecology 1100 Johnson Ferry Rd, Suite 200, Building 2, Atlanta, GA 30342-1709 2010-02-03
1992939482 Kristen Leigh Herrick Lady Obstetrics & Gynecology 1100 Johnson Ferry Rd, Suite 800, Atlanta, GA 30342-1709 2009-05-12
1740424563 David Steve Chin Yee Ophthalmology 1100 Johnson Ferry Rd, Ste 593, Atlanta, GA 30342-1709 2009-04-23
1720221856 Harpreet Singh Walia Ophthalmology 1100 Johnson Ferry Rd, Suite 593, Atlanta, GA 30342-1709 2009-04-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1255945184 Jennifer Lynne Cole Behavior Technician 5555 Glenridge Con Suite 200, Atlanta, GA 30342 2020-09-08
1093336232 Van Tran Respiratory Therapist, Registered 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 2020-04-28
1356978340 Twyla Douglas Jackson I Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2020-03-27
1760013411 Emily Hamm Dietitian, Registered 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 2020-01-31
1043855984 Mackenzie Tucker Wayda Registered Nurse 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 2019-11-14
1386288454 Tiauna Lashun Cochman Psychologist 1307 Glenridge Dr, Sandy Springs, GA 30342 2019-11-01
1164074399 Stephen J. White Hearing Instrument Specialist 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 2019-07-09
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043817208 Mlk Pharmacy2.0 Pharmacy 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 2020-10-01
1407492119 Capsule Atlanta LLC Pharmacy 867 Peachtree St Ne Ste 102, Atlanta, GA 30308-1380 2019-11-18
1861978793 Uhs of Peachford Lp Pharmacy 2150 Peachford Rd Ste D, Atlanta, GA 30338 2018-07-13
1497262778 Champions Pharmacy Pharmacy 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 2018-01-08
1912357641 Headland Pharmacy LLC Pharmacy 2973 Headland Drive, Suite B, Atlanta, GA 30331 2016-06-14
1285022277 Express Food & Pharmacy Investment LLC Pharmacy 2111 Campbellton Rd Sw, Atlanta, GA 30311-4605 2014-12-30
1881024479 Camp Creek Village Pharmacy Inc. Pharmacy 3220 Butner Rd Sw Suite #130, Atlanta, GA 30331 2013-11-18
1487093662 Pharm Holdings Pharmacy 102 E Allday St, Atlanta, TX 75551-2305 2013-06-20
1255676326 Eastlake Pharmacy Inc Pharmacy 1308 Glenwood Ave Se, Atlanta, GA 30316-2077 2012-11-30
1689918468 Wal-mart Stores East Lp Pharmacy 835 Martin Luther King Jr Dr Nw, Atlanta, GA 30314-3644 2012-11-19
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Competitor

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City ATLANTA
Zip Code 30342

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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