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Canton Northside Pharmacy Inc

Community/Retail Pharmacy in Canton, GA · enumerated 2005 · authorized official Darrell Chester, Pres.

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

National Provider Identifier

1861492761

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Registry record

Entity type Organization (Type 2)
Legal business name Canton Northside Pharmacy Inc
Other name <Unavail>
Practice address 170 Marietta Hwy, Canton, GA, 30114
Phone (770) 479-2171
Fax (770) 720-6006
Enumeration date Jul 21, 2005
Last updated in NPPES Sep 19, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 002901 (GA) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
00022778A Medicaid GA -
2012090 Other - PK
00022778B Medicaid GA -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-19. Verify at npiregistry.cms.hhs.gov.
Where is Canton Northside Pharmacy Inc located?
The practice location on file with NPPES is in Canton, GA.

Providers at this address

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