Northside Hospital, Inc.
Community/Retail Pharmacy
1100 Johnson Ferry Rd, Ste 107, Atlanta
Georgia, 30342-1709
404-845-3201 404-843-1503
Northside Hospital, Inc. is a Community/Retail Pharmacy in Atlanta, Georgia. It is located at 1100 Johnson Ferry Rd, Ste 107, Atlanta and it's customer support contact number is 404-845-3201. The authorized person of Northside Hospital, Inc. is Judy Gardner who is Pharmacy Director of the pharmacy and his contact number is 404-851-6793. Active license number of Northside Hospital, Inc. is PHRE08709 for Community/Retail Pharmacy in Georgia. Northside Hospital, Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Northside Hospital, 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:
Northside Hospital, 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: | Northside Hospital, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 1100 Johnson Ferry Rd, Ste 107, Atlanta,
Georgia, 30342-1709 |
| Phone: | 404-845-3201 |
| Fax: | 404-843-1503 |
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: | Judy Gardner |
| Position: | Pharmacy Director |
| Contact Number: | 404-851-6793 |
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: | 1073572723 |
| NPI Enumeration Date: | 21 Mar, 2006 |
| NPI Last Update On: | 20 Jan, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northside Hospital, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHRE08709 | Georgia | Primary | |
| 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 |
| 2138817 | Other | | Pk |
Medicare Enrollment:
Northside Hospital, 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 |
| 9830007236 | O20131127001239 | Northside Hospital, Inc. | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pharmacy Lock Box, Po Box 935685
Atlanta, Georgia |
| Zip: | 31193-0001 |
| Phone Number: | 404-845-3201 |
| Fax Number: | 404-843-1503 |
Patients can reach Northside Hospital, Inc. at
1100 Johnson Ferry Rd, Ste 107, Atlanta, Georgia or can
call on customer care at 404-845-3201.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.