NPI age
18 years
Enumerated 2007-10-18
● Active Type 2 · Organization
Canton Northside Pharmacy Inc
Canton Northside Pharmacy Inc is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chester
President
Last NPPES update
2017-04-12
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 65% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
6824 Reinhardt College Pkwy
Waleska, GA 301833266
Mailing address
Po Box 1029
Waleska, GA 301831029
Authorized official
Darrell Chester, RPH
President
📞 7704792171
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Phillip Taylor, RPH Pharmacist NPI 1609463124
- Timothy Wilson, R.PH. Pharmacist NPI 1679816268
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...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
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) | 17876140A | |
| 01 | 2016750 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
NORTHSIDE PHARMACY WALESKA
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.