NORTHSIDE HOSPITAL HOMECARE PHARMACY (NPI# 1639178213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639178213 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE HOSPITAL HOMECARE PHARMACY |
| Practice Address |
1000 Johnson Ferry Rd Ne Homecare Pharmacy Atlanta GA 30342-1606 |
| Practice Telephone | 4048518897 |
| Practice Fax Number | 4043033323 |
| Mailing Telephone | 4048518897 |
| Mailing Fax Number | 4043033323 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-02-13 |
| Authorized Official Name | MRS. JUDY GARDNER (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 4048516793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 006234 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00001405D | 05 |
| Street Address |
1000 JOHNSON FERRY RD NE HOMECARE PHARMACY |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814443 | Patricia Boatright Gilley | Pharmacist | 1000 Johnson Ferry Rd Ne, Northside Hospital Pharmacy, Atlanta, GA 30342-1606 | 2005-07-11 |
| 1194064485 | Nicole M Daniels | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2013-02-06 |
| 1801135512 | Brittany A Madden | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2013-02-01 |
| 1528307295 | Christine C Glenn | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2013-01-31 |
| 1083952964 | Kimberly A Stearns | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2013-01-28 |
| 1184978041 | Monica E Burrell | Nurse Anesthetist, Certified Registered | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-10-31 |
| 1588916845 | Anne H Lee | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-10-11 |
| 1083966246 | Kathryn L Childress | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-10-11 |
| 1285986448 | Meghan Torie Kosiba | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-10-11 |
| 1184975856 | Jordan D Aigner | Anesthesiologist Assistant | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2012-09-21 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1194216697 | 874 Total Pharmacy LLC | Pharmacy | 874 Ralph David Abernathy Blvd Sw, Atlanta, GA 30310-1829 | 2018-05-21 |
| 1144721531 | Ben Hill Pharmacy Inc. | Pharmacy | 3740 Campbellton Rd Sw, Atlanta, GA 30331-5222 | 2018-02-22 |
| 1487199972 | Cardinal Health 132, LLC | Pharmacy | 424 Decatur Street Ne, Suite 100, Atlanta, GA 30303 | 2016-12-20 |
| 1366991283 | Aids Healthcare Foundation | Pharmacy | 1858 Cheshire Bridge Rd Ne, Atlanta, GA 30324-4945 | 2016-10-04 |
| 1730637562 | Headland Pharmacy LLC | Pharmacy | 2973 Headland Dr Sw, Suite B, Atlanta, GA 30311-5434 | 2016-09-21 |
| 1336543461 | Publix Super Markets Inc | Pharmacy | 2020 Howell Mill Rd Nw Ste A, Atlanta, GA 30318-1732 | 2014-10-17 |
| 1558772400 | Robinson Family Pharmacy LLC | Pharmacy | 213 N Pinecrest Dr, Atlanta, TX 75551-3130 | 2014-05-14 |
| 1811321763 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1100 Lake Hearn Dr Ste 500, Atlanta, GA 30342-1548 | 2013-08-28 |
| Find all providers in ATLANTA | ||||
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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.