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Export Provider Record NPI 1356841159
Northside Hospital, Inc
Organization Subpart: NO
Active
NPI Number1356841159
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Community/Retail Pharmacy
Provider Details
NPI1356841159
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2018-02-19
Last Updated2018-02-19
Authorized OfficialJudy Gardner
Director
Phone: 4048516793
Mailing Address450 Northside Cherokee Blvd
Canton, GA 30115-8015
United States
Phone: (770) 224-1250 | Fax: (770) 224-1251
📍 View Map
Primary Practice Address450 Northside Cherokee Blvd
Canton, GA 30115-8015
United States
Phone: (770) 224-1250 | Fax: (770) 224-1251
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-2175804PK
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No333600000X – Pharmacy--
Yes3336C0003X – Pharmacy, Community/Retail PharmacyGAPHRE010431
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About NPI 1356841159

Northside Hospital, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1356841159. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Canton, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-02-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1356841159?

NPI 1356841159 belongs to Northside Hospital, Inc, a Pharmacy, Community/Retail Pharmacy in Canton, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1356841159 active?

The current status of NPI 1356841159 in the NPPES registry is Active. The record was last updated on 2018-02-19.

What specialty is NPI 1356841159?

NPI 1356841159 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1356841159?

You can verify NPI 1356841159 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1356841159?

The primary practice address on file for NPI 1356841159 is 450 Northside Cherokee Blvd, Canton, GA 30115-8015. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1356841159 issued?

NPI 1356841159 was first issued (enumerated) on 2018-02-19. The NPPES record was last updated on 2018-02-19.

Practice Location Map

Northside Hospital, Inc is located at 450 Northside Cherokee Blvd, Canton, GA. Use the map below to find directions or verify the practice location.

📍 450 Northside Cherokee Blvd, Canton, GA 30115-8015  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Northside Hospital, Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1356841159. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Pharmacy, Community/Retail PharmacyPHRE010431GA
Data Verified from CMS NPPES Last synced: 2026-08-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162