Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CANTON NORTHSIDE PHARMACY INC
Active
Organization
CANTON NORTHSIDE PHARMACY INC
Active
Other names
CANTON NORTHSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL CHESTER (PRES)
(770) 479-2171
Entity
Organization
Contact information
Practice address
170 MARIETTA HWY, CANTON, GA 30114-2303
(770) 479-2171
(770) 720-6006
Mailing address
PO BOX 4460, CANTON, GA 30114-0200
(770) 479-2171
(770) 720-6006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
002901
GA
Other
Enumeration date
07/21/2005
Last updated
09/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers