NORTHSIDE DRUGS, INC. (NPI# 1417057324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417057324 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE DRUGS, INC. |
| Practice Address |
1109 Highway 19 N Thomaston GA 30286-2207 |
| Practice Telephone | 7066482181 |
| Practice Fax Number | 7066486430 |
| Mailing Fax Number | 7066486430 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-03-23 |
| Authorized Official Name | MARTIN GRIZZARD (PHARMACIST/OWNER) |
| Authorized Official Telephone | 7066482181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 008873 | GA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00032678B4 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Northside Drugs, Inc. |
| Street Address |
1109 HIGHWAY 19 N |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295388981 | Mortar and Pestle, LLC | Pharmacy | 1109 Highway 19 N, Thomaston, GA 30286-2207 | 2019-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979029 | Terri Adams Anderson | Pharmacist | 501 Gilbert Rd, Thomaston, GA 30286-1698 | 2020-10-16 |
| 1619328085 | Kimberly Wells | Pharmacist | 201 Earls Rd, Thomaston, GA 30286-3253 | 2016-06-28 |
| 1659610244 | Wendy Wheeler Hasley | Pharmacist | 730 N Church St, Thomaston, GA 30286-3618 | 2013-02-03 |
| 1750689071 | Amy Oglesby Peacock | Pharmacist | 708 N Church St, Thomaston, GA 30286-3613 | 2011-03-10 |
| 1184708943 | Robert C Bowles Jr. | Pharmacist | 301 N Center St, Thomaston, GA 30286-3636 | 2006-10-25 |
| 1508827171 | Ricky D Williams | Pharmacist | 500 W Gordon St, Thomaston, GA 30286-3415 | 2006-03-31 |
| 1972104941 | Trisha Ann Boyt | Pharmacist | 855 N Church St, Thomaston, GA 30286-3622 | 2020-11-05 |
| 1881295970 | Kelli Phelps Vaughan | Pharmacist | 855 N Church St, Thomaston, GA 30286-3622 | 2020-11-04 |
| 1720689078 | Meredith Cook Willis | Pharmacist | 855 N Church St, Thomaston, GA 30286-3622 | 2020-11-03 |
| 1174124432 | Stephen Briggs Sadler Sr. | Pharmacist | 855 N Church St, Thomaston, GA 30286-3622 | 2020-11-03 |
| Find all providers in THOMASTON | ||||
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| 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.