NPI age
5 years
Enumerated 2021-04-20
● Active Type 2 · Organization
Northside Hospital, Inc.
Northside Hospital, Inc. is 1 of 1965 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hernandez
Cco
Last NPPES update
2021-08-06
Source: monthly bulk 2026-05
How this organization compares
Across 1965 active pharmacy providers in Georgia.
NPI age
5 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-04Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
631 Professional Dr Ste 450
Lawrenceville, GA 300463370
Mailing address
1000 Johnson Ferry Rd
Atlanta, GA 303421606
Authorized official
Jorge J. Hernandez
Cco
📞 4048516378
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Ramandeep Bambrah, MD Internal Medicine NPI 1467687566
- John Botero, NP-C Nurse Practitioner NPI 1083921274
- I-Wen Chang, M.D. Internal Medicine NPI 1912034471
- Kristen Copeland, NP Nurse Practitioner NPI 1114443967
- Dave Gupta, M.P.H Internal Medicine NPI 1164817474
- Haris Hatic, D.O. Internal Medicine NPI 1407219041
- Baotrang Le, PHARMD Pharmacist NPI 1275239030
- Jennifer Lucas, PHARM D Pharmacist NPI 1578668133
- Aldemar Montero, M.D. Internal Medicine NPI 1649229683
- Vishal Ranpura, MD Internal Medicine NPI 1295993111
- Praveen Sivakumaran, MD Internal Medicine NPI 1023226081
- Roseline Tuopaeh, MSN, APRN, FNP-C Nurse Practitioner NPI 1558033092
- Justin Woods, MD Internal Medicine NPI 1568025534
- Wan Yang, NP-C Nurse Practitioner NPI 1720395825
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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Suburban Oncology Pharmacy
-
Suburban Oncology Pharmacy
Practice context
Multi-provider organization. 14 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.