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NORTHSIDE GWINNETT EXTENDED CARE CENTER PHARMACY
NPI 1437134970
Pharmacy - Long Term Care Pharmacy in Lawrenceville, GA

Active since December 07, 2005
650 PROFESSIONAL DR, LAWRENCEVILLE, GA 30046(678) 442-3642(770) 442-3066 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2020, Jun 2, 2020 (2 updates tracked since 2020).

About Northside Gwinnett Extended Care Center Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHSIDE GWINNETT EXTENDED CARE CENTER PHARMACY (NPI 1437134970) is a healthcare organization registered as a long term care pharmacy in Lawrenceville, Georgia and active in the NPI registry since December 2005. The organization lists Judy Gardner, Director, Pharmaceutical Services, as its authorized official.

NPPES Registry Identity

NPI1437134970
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameNORTHSIDE HOSPITAL, INC.
Location Address650 PROFESSIONAL DRLawrenceville, GA 30046-8707
Mailing Address1000 Johnson Ferry Road, Attn: Judy GardnerAtlanta, GA 30342-1616 · (404) 851-6793 · Fax (404) 851-8610
Phone(678) 442-3642
Fax(770) 442-3066
Organization SubpartNo
Authorized OfficialJudy GardnerDirector, Pharmaceutical Services · (404) 851-6793
Enumeration DateDecember 7, 2005
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1437134970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License PHRE008388 (GA)
650 PROFESSIONAL DR, Lawrenceville, GA 30046
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Other Names 1

Doing Business AsNorthside Gwinnett Extended Care Center Pharmacy

Other Identifiers 2

Other1147215GA · Nabp Or Ncpdp
Medicaid866291AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHSIDE HOSPITAL, INC.
Skilled Nursing Facility
650 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3000
PAULINE CARMELA BONDOC-ROAQUIN P.T.
Physical Therapist
650 PROFESSIONAL DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northside Hospital, Inc.'s NPI number?

The NPI number for Northside Hospital, Inc. is 1437134970. It was assigned to this organization in the NPPES registry on December 7, 2005. The provider is doing business as Northside Gwinnett Extended Care Center Pharmacy.

Where is Northside Hospital, Inc. located?

Northside Hospital, Inc. is located at 650 Professional Dr, Lawrenceville, GA 30046. The listed phone number is (678) 442-3642.

What is Northside Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Northside Hospital, Inc. accept?

Health plans from Medica and Moda Health Plan, Inc. list Northside Hospital, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northside Hospital, Inc. was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.