Canton Northside Pharmacy Inc is an authorized DME supplier for medicare equipments and products.
Canton Northside Pharmacy Inc is a Community/Retail Pharmacy in Canton, Georgia. It is located at 170 Marietta Hwy, Canton and it's customer support contact number is 770-479-2171. The authorized person of Canton Northside Pharmacy Inc is Darrell Chester who is Pres of the pharmacy and his contact number is 770-479-2171. Active license number of Canton Northside Pharmacy Inc is 002901 for Community/Retail Pharmacy in Georgia. Canton Northside Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Canton Northside Pharmacy Inc is 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.
Pharmacy Details:
Canton Northside Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Canton Northside Pharmacy Inc
Type:
Community/Retail Pharmacy
Location:
170 Marietta Hwy, Canton, Georgia, 30114-2303
Phone:
770-479-2171
Fax:
770-720-6006
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Darrell Chester
Position:
Pres
Contact Number:
770-479-2171
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1861492761
NPI Enumeration Date:
21 Jul, 2005
NPI Last Update On:
19 Sep, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Canton Northside Pharmacy Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
002901
Georgia
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00022778A
Medicaid
Georgia
2012090
Other
Pk
00022778B
Medicaid
Georgia
Medicare Enrollment:
Canton Northside Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1456471721
O20100930078082
Canton Northside Pharmacy Inc
DME SUPPLIER - PHARMACY
Products Available:
Canton Northside Pharmacy Inc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Cpap, Rads, & Related Supplies & Accessories
Diabetic Shoes & Inserts: Prefabricated
Enteral Equipment And/or Supplies
Enteral Nutrients
Gastric Suction Pumps
Heat & Cold Applications
Hospital Beds: Electric
Hospital Beds: Manual
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Ostomy Supplies
Oxygen Equipment & Supplies
Patient Lifts
Respiratory Suction Pumps
Seat Lift Mechanisms
Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads
Surgical Dressings
Tracheostomy Supplies
Traction Equipment
Transcutaneous Electrical Nerve Stimulators (tens) Units
Ultraviolet Light Devices
Urological Supplies
Walkers
Wheelchair Seating/cushions
Wheelchairs & Accessories: Standard Manual
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 4460, Canton, Georgia
Zip:
30114-0200
Phone Number:
770-479-2171
Fax Number:
770-720-6006
Patients can reach Canton Northside Pharmacy Inc at 170 Marietta Hwy, Canton, Georgia or can call on customer care at 770-479-2171.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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