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Canton Northside Pharmacy Inc

Community/Retail Pharmacy in Waleska, GA · enumerated 2007 · authorized official Darrell Chester, President.

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

National Provider Identifier

1528257102

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Canton Northside Pharmacy Inc
Other name <Unavail>
Practice address 6824 Reinhardt College Pkwy, Waleska, GA, 30183
Phone (770) 479-2172
Fax (770) 479-2249
Enumeration date Oct 18, 2007
Last updated in NPPES Apr 12, 2017

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License PHRE009402 (GA) Primary

Authorized official

Name Darrell Chester
Title President
Phone (770) 479-2171

Other identifiers

Identifier Type State Issuer
17876140A Medicaid GA -
2016750 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

What is the NPI number for Canton Northside Pharmacy Inc?
The NPI for Canton Northside Pharmacy Inc is 1528257102, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Canton Northside Pharmacy Inc?
NPPES lists Darrell Chester (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-12.