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Express at Northside LLC

Community/Retail Pharmacy in Atlanta, GA · enumerated 2017 · authorized official Ketan Trivedi, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285145789

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Registry record

Entity type Organization (Type 2)
Legal business name Express at Northside LLC
Other name <Unavail>
Practice address 296 Northside Dr Sw, Atlanta, GA, 30313
Phone (404) 549-7762
Fax (404) 549-7625
Enumeration date Oct 24, 2017
Last updated in NPPES Sep 19, 2025

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHRE010415 (GA) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Ketan Trivedi
Title Member
Phone (678) 205-7038

Other identifiers

Identifier Type State Issuer
003199602A Medicaid GA -
2172400 Other - PK

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.

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Frequently asked questions

Who is the authorized official for Express at Northside LLC?
NPPES lists Ketan Trivedi (Member) as the authorized official for this organization.
What is the NPI number for Express at Northside LLC?
The NPI for Express at Northside LLC is 1285145789, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-19.