Canton Northside Pharmacy Inc
NPI 1528257102 · Community/Retail Pharmacy · Waleska, GA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canton Northside Pharmacy Inc is a Community/Retail Pharmacy organization in Waleska, GA (NPI 1528257102).
Provider details
- NPI number
- 1528257102
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Darrell Chester, President(770) 479-2171
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- Northside Pharmacy Waleska
Registry dates
- Enumerated
- 2007-10-18
- Last updated
- 2017-04-12
Frequently asked questions
- What is Canton Northside Pharmacy Inc's NPI number?
- Canton Northside Pharmacy Inc's National Provider Identifier (NPI) is 1528257102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canton Northside Pharmacy Inc?
- Canton Northside Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Canton Northside Pharmacy Inc located?
- Canton Northside Pharmacy Inc's practice location on file with NPPES is 6824 Reinhardt College Pkwy, Waleska, GA 30183-3266.
- What is Canton Northside Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Canton Northside Pharmacy Inc is (770) 479-2172.
- Does Canton Northside Pharmacy Inc accept Medicare?
- Canton Northside Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canton Northside Pharmacy Inc?
- The authorized official listed on Canton Northside Pharmacy Inc's NPPES record is Darrell Chester, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canton Northside Pharmacy Inc's NPI active?
- Yes — Canton Northside Pharmacy Inc's NPI (1528257102) is active in the NPPES registry as of the last update on 2017-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.