Northside Pharmacy, Inc.
Northside Pharmacy, Inc. is a healthcare organization registered as Pharmacist in Macon, GA, holding Type 2 (organization) NPI 1093860280 since 2007. The authorized official on file is Ricki Oliver, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093860280 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northside Pharmacy, Inc. |
| Practice address | 440 CHARTER BLVD, SUITE 1107, Macon, GA, 31210 |
| Phone | 4784746767 |
| Enumeration date | 2007-01-25 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Ricki Oliver |
|---|---|
| Title | Owner |
| Phone | 4784746767 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 006380 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002972 39A | Medicaid | GA | — |
Copy-ready billing details
Provider: Northside Pharmacy, Inc. NPI: 1093860280 Taxonomy: 183500000X (Pharmacist) Address: 440 CHARTER BLVD, SUITE 1107, Macon, GA, 31210
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780602011 | Consuela Williams-Holliday | Individual | Podiatrist | Macon, GA |
| 1235232430 | Billie Jackson | Individual | Dermatology Physician | Macon, GA |
| 1346311719 | Clinton S. Beverly MD PC | Organization | Surgery Physician | Macon, GA |
| 1295892495 | The Total Woman Healthcare Center, P.C. | Organization | Obstetrics & Gynecology Physician | Macon, GA |
| 1912205477 | John A Wells MD PA | Organization | Surgery Physician | Macon, GA |
| 1114296464 | Billie L. Jackson, M.D., LLC | Organization | Dermatology Physician | Macon, GA |
| 1659713733 | Grace Family Practice | Organization | Family Medicine Physician | Macon, GA |
Verify this record
Cross-check NPI 1093860280 against the authoritative CMS record: view Northside Pharmacy, Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Northside Pharmacy, Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.