Organization
SOUTHSIDE MASTER LLC
Active
Other names
Southside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT JAIN (CEO)
(713) 660-8888
Entity
Organization
Contact information
Practice address
755 MOUNT VERNON HWY, SUITE 450, ATLANTA, GA 30328-4292
(470) 377-4054
(470) 377-4055
Mailing address
6330 WEST LOOP SOUTH, SUITE 700, 7TH FLOOR, BELLAIRE, TX 77401-2928
(713) 660-8888
(713) 661-4828
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
05/07/2019
Last updated
11/19/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up