NPI age
8 years
Enumerated 2017-10-24
● Active Type 2 · Organization
Express At Northside Llc
Express At Northside Llc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Trivedi
Member
Last NPPES update
2025-09-19
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
8 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 65% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-10Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
296 Northside Dr Sw
Atlanta, GA 303131228
Mailing address
296 Northside Dr Sw
Atlanta, GA 303131228
Authorized official
Ketan Trivedi
Member
📞 6782057038
Specialties
-
Pharmacy PrimaryA 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...
-
PharmacyA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
-
PharmacyA pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003199602A | |
| 01 | 2172400 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
EXPRESS PHARMACY
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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