Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northside Hospital, Inc

Organization Community/Retail Pharmacy · NPI 1619558657

Northside Hospital, Inc is a Community/Retail Pharmacy in Lawrenceville, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

631 Professional Dr Ste 450
Lawrenceville, GA 30046-3370
Phone: (678) 533-1559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1619558657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Fouts — Chief Compliance Officer · (404) 851-6968
Other names Suburban Oncology Pharmacy; Suburban Oncology Pharmacy
NPI enumeratedApril 20, 2021
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address1000 Johnson Ferry Rd, Atlanta, GA 30342-1606

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