OrganizationActive
Southside Master LLC
NPI 1063077881 · Community/Retail Pharmacy · Atlanta, GA
Southside Master LLC is a Community/Retail Pharmacy organization in Atlanta, GA (NPI 1063077881).
Provider details
- NPI number
- 1063077881
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amit Jain, Ceo(713) 660-8888
Specialties & taxonomies
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
755 Mount Vernon Hwy
Suite 450
Atlanta, GA 30328-4292
Phone: (470) 377-4054
Fax: (470) 377-4055
Street-level locationGet directions
Mailing address
6330 West Loop South
Bellaire, TX 77401-2928
Other names (DBA / former)
- Doing business as
- Southside Pharmacy
- Doing business as
- Southside Pharmacy
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2019-11-19
Frequently asked questions
- What is Southside Master LLC's NPI number?
- Southside Master LLC's National Provider Identifier (NPI) is 1063077881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Master LLC?
- Southside Master LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southside Master LLC located?
- Southside Master LLC's practice location on file with NPPES is 755 Mount Vernon Hwy, Atlanta, GA 30328-4292.
- What is Southside Master LLC's phone number?
- The practice phone number listed in the NPPES registry for Southside Master LLC is (470) 377-4054.
- Who is the authorized official for Southside Master LLC?
- The authorized official listed on Southside Master LLC's NPPES record is Amit Jain, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Master LLC's NPI active?
- Yes — Southside Master LLC's NPI (1063077881) is active in the NPPES registry as of the last update on 2019-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.