Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Northside Pharmacy, Inc

Organization Pharmacist · NPI 1093860280

Northside Pharmacy, Inc provides Pharmacist services in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

440 Charter Blvd Ste 1107
Macon, GA 31210-4857
Phone: (478) 474-6767
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 006380 (GA)

Record details

NPI number1093860280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricki Oliver — Owner · (478) 474-6767
NPI enumeratedJanuary 25, 2007
Last updated in NPPESAugust 22, 2020
Mailing address440 Charter Blvd, Suite 1107, Macon, GA 31210-4857

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