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

Northside Pharmacy, Inc

Organization Pharmacist · NPI 1093860280

Northside Pharmacy, Inc is a Pharmacist 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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