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CANTON NORTHSIDE PHARMACY INC
NPI 1861492761
Pharmacy - Community/Retail Pharmacy in Canton, GA

Active since July 21, 2005
170 MARIETTA HWY, CANTON, GA 30114(770) 479-2171(770) 720-6006 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Apr 18, 2018 and 1 more (4 updates tracked since 2016).

About Canton Northside Pharmacy Inc NPPES

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

CANTON NORTHSIDE PHARMACY INC (NPI 1861492761), doing business as Canton Northside Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Canton, Georgia and active in the NPI registry since July 2005. The organization lists Darrell Chester, Pres, as its authorized official.

NPPES Registry Identity

NPI1861492761
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCANTON NORTHSIDE PHARMACY INC
Location Address170 MARIETTA HWYCanton, GA 30114-2303
Mailing AddressPo Box 4460Canton, GA 30114-0200 · (770) 479-2171 · Fax (770) 720-6006
Phone(770) 479-2171
Fax(770) 720-6006
Organization SubpartNo
Authorized OfficialDarrell ChesterPres · (770) 479-2171
Enumeration DateJuly 21, 2005
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
✔ NPI 1861492761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · 002901
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
170 MARIETTA HWY, Canton, GA 30114
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Other Names 1

Doing Business AsCanton Northside Pharmacy

Other Identifiers 3

Medicaid00022778AGA
Other2012090Pk
Medicaid00022778BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 14

Medicare supplier enrollment and the product categories Canton Northside Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Canton Northside Pharmacy Inc

DMEPOS supplier · Canton, GA
✔

Accepts Medicare assignment

Canton Northside Pharmacy Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20626499
Medicare Participant SinceJanuary 1, 2001
Supplier Location170 Marietta HwyCanton, GA 30114
Phone(770) 479-2171
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

DR. ROBERT BAGWELL JR. PHARMD
Pharmacist
170 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 479-2171
RIVERS HEALTH AND WELLNESS PHARMACY
Pharmacy (Community/Retail Pharmacy)
170 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 479-2171
DARRELL CHESTER RPH
Pharmacist
170 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 479-2171

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 Canton Northside Pharmacy Inc's NPI number?

The NPI number for Canton Northside Pharmacy Inc is 1861492761. It was assigned to this organization in the NPPES registry on July 21, 2005. The provider is doing business as Canton Northside Pharmacy.

Where is Canton Northside Pharmacy Inc located?

Canton Northside Pharmacy Inc is located at 170 Marietta Hwy, Canton, GA 30114. The listed phone number is (770) 479-2171.

What is Canton Northside Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Canton Northside Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Canton Northside Pharmacy Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Canton Northside Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Canton Northside Pharmacy 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 Canton Northside Pharmacy Inc was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.