Express At Northside Llc
Community/Retail Pharmacy
296 Northside Dr Sw, Atlanta
Georgia, 30313-1228
404-549-7762 404-549-7625
Express At Northside Llc is a Community/Retail Pharmacy in Atlanta, Georgia. It is located at 296 Northside Dr Sw, Atlanta and it's customer support contact number is 404-549-7762. The authorized person of Express At Northside Llc is Ketan Trivedi who is Member of the pharmacy and his contact number is 678-205-7038. Active license number of Express At Northside Llc is PHRE010415 for Community/Retail Pharmacy in Georgia.
Express At Northside Llc 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:
Express At Northside Llc 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: | Express At Northside Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 296 Northside Dr Sw, Atlanta,
Georgia, 30313-1228 |
| Phone: | 404-549-7762 |
| Fax: | 404-549-7625 |
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: | Ketan Trivedi |
| Position: | Member |
| Contact Number: | 678-205-7038 |
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: | 1285145789 |
| NPI Enumeration Date: | 24 Oct, 2017 |
| 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 Express At Northside Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHRE010415 | Georgia | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | 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 |
| 003199602A | Medicaid | Georgia | |
| 2172400 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 296 Northside Dr Sw,
Atlanta, Georgia |
| Zip: | 30313-1228 |
| Phone Number: | 404-549-7762 |
| Fax Number: | 404-549-7625 |
Patients can reach Express At Northside Llc at
296 Northside Dr Sw, Atlanta, Georgia or can
call on customer care at 404-549-7762.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.