NORTHSIDE HOSPITAL, INC. (NPI# 1679572861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679572861 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE HOSPITAL, INC. |
| Other Organization Name | NORTHSIDE ALPHARETTA PHARMACY |
| Practice Address |
3400 Old Milton Pkwy # A Suite 140 Alpharetta GA 30005-3707 |
| Practice Telephone | 7706674023 |
| Practice Fax Number | 7707517292 |
| Mailing Telephone | 7706674023 |
| Mailing Fax Number | 7707517292 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | JUDY GARDNER (DIRECTOR) |
| Authorized Official Telephone | 4048516793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE007668 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2018667 | 01 |
| Other Name | Type Code |
|---|---|
| NORTHSIDE ALPHARETTA PHARMACY | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1376574277 | Northside Hospital, Inc. | General Acute Care Hospital | 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | 2006-07-06 |
| Street Address |
3400 OLD MILTON PKWY # A SUITE 140 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30005-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477954311 | Holly Vali | Nurse Practitioner | 3400 Old Milton Pkwy # A, Suite 510, Alpharetta, GA 30005-3707 | 2014-09-10 |
| 1356618094 | Patricia Rainey | Nurse Practitioner | 3400 Old Milton Pkwy # A, Suite 330, Alpharetta, GA 30005-3707 | 2011-11-23 |
| 1467630384 | The Hand and Upper Extremity Rehabilitation Center | Occupational Therapist | 3400 Old Milton Pkwy # A, Ste 350, Alpharetta, GA 30005-3707 | 2008-02-01 |
| 1437102860 | Kelsey Kearney Bryant | Occupational Therapist | 3400 Old Milton Pkwy # A, Suite 350, Alpharetta, GA 30005-3707 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
| 1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
| 1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
| 1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
| 1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
| 1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
| 1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
| 1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
| 1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
| 1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
| Find all providers in zip 30005 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912388588 | North Fulton Pharmacy LLC | Pharmacy | 501 S Main St Ste 103, Alpharetta, GA 30009-1975 | 2015-06-09 |
| 1760763015 | Walgreens | Pharmacy | 455 Wakefield Trce, Alpharetta, GA 30004-0890 | 2011-08-31 |
| 1356583470 | Precision Compounding Pharmacy LLC | Pharmacy | 1805 Hembree Rd, Ste C, Alpharetta, GA 30009-2075 | 2009-04-03 |
| 1285731778 | Georgia Cvs Pharmacy LLC | Pharmacy | 10710 State Bridge Rd, Alpharetta, GA 30022-6007 | 2006-09-19 |
| 1720182652 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 184 N Main St, Alpharetta, GA 30009-3623 | 2006-09-12 |
| 1891899712 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 8430 Holcomb Bridge Rd, Alpharetta, GA 30022-5317 | 2006-09-12 |
| 1194828962 | Georgia Cvs Pharmacy, L.L.C. | Pharmacy | 11625 Jones Bridge Rd, Alpharetta, GA 30005-2539 | 2006-09-07 |
| 1609986215 | Costco Wholesale Corporation | Pharmacy | 2855 Jordan Ct, Alpharetta, GA 30004 | 2006-08-30 |
| 1750398749 | Walgreen Co | Pharmacy | 5510 Windward Pkwy, Alpharetta, GA 30004-3889 | 2006-08-02 |
| 1093722076 | Walgreen Co | Pharmacy | 3003 Old Alabama Rd, Alpharetta, GA 30022-8594 | 2006-08-02 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30005 |
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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.