Rivers Health And Wellness Pharmacy
Pharmacy, Community/Retail Pharmacy in Canton, GA. Organization (NPI-2).
NPI number1134094089
StatusActive
Last updated in NPPESOct 9, 2025
Details
- NPI
- 1134094089
- Entity type
- Organization (NPI-2)
- Legal business name
- Rivers Health And Wellness Pharmacy
- Organization subpart
- Yes
- Enumeration date
- Oct 9, 2025
- Certification date
- Oct 9, 2025
- Last updated
- Oct 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Northside Pharmacy Canton (Doing Business As)
- Northside Pharmacy Waleska (Doing Business As)
Practice location
170 Marietta HwyCanton, GA 30114-2303
Phone 770-479-2171
Mailing address
607 Knights Bridge DrCanton, GA 30115-5215
Phone 770-241-0532 · Fax 770-241-0532
Authorized official
Jonathan Rivers
Owner
7702410532
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Community/Retail Pharmacy providers in Canton · All 1,795 providers in Canton
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