Canton Northside Pharmacy Inc
Canton Northside Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Canton, GA, holding Type 2 (organization) NPI 1861492761 since 2005. The authorized official on file is Darrell Chester, Pres.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861492761 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Canton Northside Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 170 MARIETTA HWY, Canton, GA, 30114 |
| Phone | 7704792171 |
| Fax | 7707206006 |
| Enumeration date | 2005-07-21 |
| Last updated in NPPES | 2025-09-19 |
Authorized official
| Name | Darrell Chester |
|---|---|
| Title | Pres |
| Phone | 7704792171 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 002901 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00022778A | Medicaid | GA | — |
| 2012090 | Other | — | PK |
| 00022778B | Medicaid | GA | — |
Copy-ready billing details
Provider: Canton Northside Pharmacy Inc NPI: 1861492761 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 170 MARIETTA HWY, Canton, GA, 30114
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700473287 | Darrell Chester | Individual | Pharmacist | Canton, GA |
| 1114514684 | Robert Bagwell | Individual | Pharmacist | Canton, GA |
| 1134094089 | Rivers Health and Wellness Pharmacy | Organization | Community/Retail Pharmacy | Canton, GA |
Verify this record
Cross-check NPI 1861492761 against the authoritative CMS record: view Canton 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
How current is this record?
Where is Canton Northside Pharmacy Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-19.