Northside Pharmacy, Inc. in Macon - Pharmacist
Northside Pharmacy, Inc. - NPI 1093860280
Northside Pharmacy, Inc. is a Pharmacist in Macon, Georgia. Northside Pharmacy, Inc. practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Northside Pharmacy, Inc. is 1093860280. The last update date is 2020-08-22.
Northside Pharmacy, Inc.'s current location address is 440 Charter Blvd, Macon, Georgia. You can contact this provider via phone number 4784746767. The mailing address for Northside Pharmacy, Inc. is 440 Charter Blvd, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northside Pharmacy, Inc. |
|---|---|
| Address | 440 Charter Blvd, Macon, Georgia |
| Phone Number | 4784746767 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Oliver A Ricki |
| Telephone Number | 4784746767 |
NPI Number Detail
| NPI Number | 1093860280 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 440 Charter Blvd |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312104857 |
| Phone Number | 4784746767 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 6380 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 002972 39A | GA | -- |
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What is the unique 10-digit identification code issued to Northside Pharmacy, Inc. by the Centers for Medicare & Medicaid Services?
The Northside Pharmacy, Inc. has been assigned the NPI (National Provider Identifier) 1093860280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Northside Pharmacy, Inc. located?
The Northside Pharmacy, Inc. is located at 440 Charter Blvd, Macon, GA 312104857.
What is Northside Pharmacy, Inc.'s area of expertise and its corresponding taxonomy classification?
The Northside Pharmacy, Inc.'s field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1093860280 to Northside Pharmacy, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1093860280 to Northside Pharmacy, Inc. on 2007-01-25.
When was the information pertaining to Northside Pharmacy, Inc. most recently updated or revised?
The details related to Northside Pharmacy, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.