NORTHSIDE HOSPITAL (NPI# 1356333868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356333868 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE HOSPITAL |
| Other Organization Name | NORTHSIDE HOSPITAL FORSYTH PHARMACY DEPARTMENT |
| Practice Address |
1200 Northside Forsyth Dr Northside Hospital Forsyth Pharmacy Cumming GA 30041-7659 |
| Practice Telephone | 7708443291 |
| Practice Fax Number | 7708443424 |
| Mailing Telephone | 7708443290 |
| Mailing Fax Number | 7708443424 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RAE LYNN BENTON (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7708443291 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHH007473 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| Northside Hospital Forsyth Pharmacy Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871925412 | Northside Hospital | General Acute Care Hospital | 6000 49th St N, St Petersburg, FL 33709-2114 | 2013-08-06 |
| 1215098405 | Northside Hospital | Durable Medical Equipment & Medical Supplies | 1000 Johnson Ferry Road, Atlanta, GA 30342 | 2006-12-12 |
| 1487653283 | Northside Hospital | Pharmacy | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2005-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHSIDE HOSPITAL-ATLANTA | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 |
| New York State Corporations | NORTHSIDE HOSPITALITY SERVICES LLC | 679 Driggs Avenue, Brooklyn, Ny 11211 |
| Street Address |
1200 NORTHSIDE FORSYTH DR NORTHSIDE HOSPITAL FORSYTH PHARMACY |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-7659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055482 | Michael C. Sergeant | Family Medicine | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2005-07-06 |
| 1366053431 | Jeri Wells Lloyd | Nurse Practitioner | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2020-08-12 |
| 1003434093 | Sarah Garvin | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2020-07-07 |
| 1194345843 | Sarah Murray | Registered Nurse | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2020-04-23 |
| 1154950905 | Macy Elizabeth Fortner | Registered Nurse | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2020-04-03 |
| 1952940801 | Lynn Marie Mincey | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-12-24 |
| 1700425642 | Lisa Hooker | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-12-23 |
| 1124669619 | Lakeda-naita Downer | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-10-05 |
| 1235789538 | Lorena Calderon | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-09-18 |
| 1134774466 | Angelina Cho | Pharmacist | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2019-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1760920821 | Georgia Highlands Medical Services Inc | Pharmacy | 475 Tribble Gap Rd Ste 120, Cumming, GA 30040-2470 | 2017-02-08 |
| 1447487574 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 1400 Northside Forsyth Dr Ste 350, Cumming, GA 30041-6018 | 2009-06-16 |
| 1568400570 | Bjs Wholesale Club Inc | Pharmacy | 1725 Market Place Blvd, Cumming, GA 30041-7928 | 2006-06-02 |
| 1487653283 | Northside Hospital | Pharmacy | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
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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.