Organization
NORTHSIDE HOSPITAL, INC.
Active
Other names
The Pharmacy Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
(404) 851-6968
Entity
Organization
Contact information
Practice address
1100 JOHNSON FERRY RD, STE 107, ATLANTA, GA 30342-1709
(404) 845-3201
(404) 843-1503
Mailing address
PHARMACY LOCK BOX, PO BOX 935685, ATLANTA, GA 31193-0001
(404) 845-3201
(404) 843-1503
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE08709
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138817
PK
—
Enumeration date
03/21/2006
Last updated
07/02/2026
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